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NPI Code Detail

MEDICARE: KRYS-ANN JANELL LAWHORN LMSW

MEDICARE: KRYS-ANN JANELL LAWHORN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker3271857ID

General Provider Information

NPI Number : 1528907078
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYS-ANN JANELL LAWHORN LMSW
Provider Business Mailing Address
First Line : 3050 N LAKEHARBOR LN STE 248
Second Line :
City : BOISE
State : ID
Zip : 83703-6281
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3050 N LAKEHARBOR LN STE 248
Second Line :
City : BOISE
State : ID
Zip : 83703-6281
Country : US
Telephone Number : 208-991-4696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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