Jordan Thomas Lauby, PA-C | |
6615 Comanche St, Bonners Ferry, ID 83805-7523 | |
(208) 267-1718 | |
Not Available |
Full Name | Jordan Thomas Lauby |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 6615 Comanche St, Bonners Ferry, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659147544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA-2724 (Idaho) | Primary |
Mailing Address | Practice Location Address |
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Jordan Thomas Lauby, PA-C 6615 Comanche St, Bonners Ferry, ID 83805-7523 Ph: () - | Jordan Thomas Lauby, PA-C 6615 Comanche St, Bonners Ferry, ID 83805-7523 Ph: (208) 267-1718 |
Dean A Chapel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Scott Lacefield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805 Phone: 208-267-3655 Fax: 208-267-3757 | |
Matthew Lee Bauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6615 Comanche Street, Bonners Ferry, ID 83805 Phone: 208-267-1718 |