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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURREN ASHLEY BENNETT, PA-C

Active Sole Proprietor

LAURREN ASHLEY BENNETT, PA-C is a Physician Assistant healthcare provider located in IDAHO FALLS, Idaho. NPI 1104419431 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · IDAHO FALLS, ID

Registration Details

NPI Number
1104419431
Provider Type
Individual
Gender
Female
NPI Issued
Feb 17, 2021 (5.4993330908789 yrs)
Last Updated
Feb 17, 2021
License
PA-2020 (ID)
Sole Proprietor
Yes

Practice Information

Address
740 S WOODRUFF AVE
IDAHO FALLS, ID, 834015285
Browse ID providers · Browse ZIP 83401
Phone
2095429111
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in IDAHO FALLS, ID

Name Credential NPI
DERON J RICKS PA 1639156573
PHILIP C HESSE PA 1811975386
JASON CHRISTOPHER JOYNER PA-C 1356310239
MATTHEW R NELSON PA C 1649221912
JOSEPH D ANDERSON PA-C 1386699833
MATTHEW J MERZLOCK PA-C 1316985229
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.