Manfull, Lauren Addison

Manfull, Lauren Addison is an sole proprietor health care provider with primary practice located at 315 W College Ave , St Maries ID 83861-2035. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Manfull, Lauren Addison can be contacted via phone (208) 568-0082.

Contact Information

Primary practice address
315 W College Ave St Maries ID 83861-2035
Phone: (208) 568-0082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1477841799
LBN Legal business name Manfull, Lauren Addison
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2011
Last updated Jul 20th, 2011 - about 14 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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