NPI 1104032101

Lori Ann Graber, MOTOTR

Practitioner Specialist Boise, ID

Practice location

Address: 1130 Allumbaugh St, Boise, ID 83704-8700
Phone: (208) 854-8517
Fax: (208) 854-8689
Mailing address: PO Box 6495, Boise, ID 83707-6495

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 795 (ID)

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Registry record

NPI: 1104032101
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.