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
Phone: (208) 528-4071
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
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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