Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAUREN ADDISON MANFULL, LMP
Active Sole ProprietorLAUREN ADDISON MANFULL, LMP is a Specialist healthcare provider located in ST MARIES, Idaho. NPI 1477841799 is currently active in the NPPES registry. Verify at CMS.
Specialist · ST MARIES, ID
Registration Details
- NPI Number
- 1477841799
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2011 (15.03199130379 yrs)
- Last Updated
- Jul 20, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 W COLLEGE AVEST MARIES, ID, 838612035Browse ID providers · Browse ZIP 83861
- Phone
- 2085680082
- Primary Specialty
-
Specialist
174400000X
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.