Search › Idaho › 363A00000X
Jordan Lauby, PA-C
NPI 1659147544 · on the registry since 2023
Practice
- Address
- 6615 Comanche St
Bonners Ferry, ID 83805 - Phone
- (208) 267-1718
- Organisation at this address
- Boundary Regional Community Health Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho