Lori Katherine Ebinger, PA-C Valid NPI
Individual provider · Physician Assistant · Eagle, ID
- NPI
- 1629446661
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA-1278 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-09-08
- Last updated
- 2023-11-15
Practice location
74 N Fisher Park Way
Eagle, ID 83616
(208) 391-7210