Individual
LAUREN TAYLOR WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 POLE LINE RD W STE 301, TWIN FALLS, ID 83301-5823
(208) 814-8700
(208) 933-4914
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2569
ID
363AS0400X
Surgical Physician Assistant
Primary
PA-2569
ID
Other
Enumeration date
03/10/2023
Last updated
09/25/2023
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