Huber, Lauren Marie
Huber, Lauren Marie is an individual health care provider with primary practice located at 27 N Fisher Park Way Suite 101, Eagle ID 83616-4796. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Huber, Lauren Marie can be contacted via phone (208) 514-1858.Contact Information
Primary practice address
27 N Fisher Park Way Suite 101
Eagle ID 83616-4796
Phone: (208) 514-1858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-1000250 | Idaho |
Profile Details
| NPI number | 1942563424 |
|---|---|
| LBN Legal business name | Huber, Lauren Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2012 |
| Last updated | Jul 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942563424 | NPPES |
| Idaho | Other | 20001413 | MEDICARE PTAN |
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