Lauren D. Bales, M.D.
Hospitalist in Boise, ID. Individual provider (NPI-1).
NPI number1366435687
StatusActive
Last updated in NPPESApr 1, 2020
Details
- NPI
- 1366435687
- Entity type
- Individual (NPI-1)
- Name
- Lauren D. Bales
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2005
- Certification date
- Apr 1, 2020
- Last updated
- Apr 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | M-13942 | ID | Yes |
| 207V00000X | Obstetrics & Gynecology | G86701 | CA | |
| 207V00000X | Obstetrics & Gynecology | M-13942 | ID |
Practice location
1055 N Curtis RoadBoise, ID 83706
Phone 208-367-6279 · Fax 208-367-3951
Mailing address
3340 E Goldstone WayMeridian, ID 83642
Phone 208-367-6279 · Fax 208-367-3951
Other practice locations
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