Provider Demographics
NPI:1851855803
Name:RYBARCZYK, LAUREN (HCHI)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:RYBARCZYK
Suffix:
Gender:F
Credentials:HCHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11498 W CARMICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-7382
Mailing Address - Country:US
Mailing Address - Phone:760-214-2240
Mailing Address - Fax:
Practice Address - Street 1:11498 W CARMICHAEL DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-7382
Practice Address - Country:US
Practice Address - Phone:760-214-2240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No374J00000XNursing Service Related ProvidersDoula