Lagazo, Elizabeth Rae

Lagazo, Elizabeth Rae is an sole proprietor health care provider with primary practice located at 150 Shoup Ave , Idaho Falls ID 83402-3657. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Lagazo, Elizabeth Rae can be contacted via phone (208) 528-4071.

Contact Information

Primary practice address
150 Shoup Ave Idaho Falls ID 83402-3657
Fax:
Website:

Profile Details

NPI number 1437626124
LBN Legal business name Lagazo, Elizabeth Rae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2018
Last updated Oct 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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