Laurie J Ashby, MD
Individual provider Active NPI Family Medicine Physician · Boise, ID
NPI 1730169178 · NPPES record last updated Dec 6, 2018
Key facts
- NPI
- 1730169178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M6878 (ID)
- Practice address
- 5966 W Curtisian Ave
Boise, ID 83604 - Phone
- (208) 302-5460
- Fax
- (208) 302-5455
- NPI assigned
- Jan 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6878 | ID | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M6878 | ID | Yes |
Addresses
Primary practice location
5966 W Curtisian Ave
Boise, ID 83604
Mailing address
3340 E Goldstone Way
Meridian, ID 83642
Phone (208) 302-5460
Other providers in Boise, ID
- Jonathan Zachary Asdell
- Kirsten Michelle Ash
- Daniel Ashby
- Hansel Ashby
- Kalin Ashby
- Sadie Ashenbrener
- Merrie Louise Asher
- Ashley a Davis M.D.P.C.
- Ashley Manor, LLC
- Ashley Manor, LLC
All providers in Boise, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.