| Jordan Thomas Lauby, PA-C | |
|
6615 Comanche St, Bonners Ferry, ID 83805-7523 | |
| (208) 267-1718 | |
| Not Available |
| Full Name | Jordan Thomas Lauby |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6615 Comanche St, Bonners Ferry, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659147544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2724 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Thomas Lauby, PA-C 6615 Comanche St, Bonners Ferry, ID 83805-7523 Ph: () - | Jordan Thomas Lauby, PA-C 6615 Comanche St, Bonners Ferry, ID 83805-7523 Ph: (208) 267-1718 |
Dean A Chapel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6635 Comanche St, Bonners Ferry, ID 83805 Phone: 208-267-1718 Fax: 208-267-7739 | |
Scott Lacefield, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6641 Kaniksu St, Suite A, Bonners Ferry, ID 83805 Phone: 208-267-3655 Fax: 208-267-3757 | |
James David Mccall, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6615 Comanche Street, Bonners Ferry, ID 83805 Phone: 109-813-6633 | |
Matthew Lee Bauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6615 Comanche Street, Bonners Ferry, ID 83805 Phone: 208-267-1718 |