NPI 1558715235
Laura Mae Defenbach, MSCGC
Practice location
- Address
- 333 N 1st St Suite 150, Boise, ID 83702-6100
- Phone
- (208) 381-3088
- Fax
- (208) 381-4314
Registered specialties
Genetic Counselor (M.S.)
Primary
Registry record
- NPI
- 1558715235
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Apr 2016
- Record last updated
- 19 Apr 2016
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.