Laurel Defoggi, FNP-BC

NPI 1356195200 · on the registry since 2024

Practice

Address: 951 E Plaza Dr Ste 110
Eagle, ID 83616
Phone: (208) 274-9580
Organisation at this address: Renu Medispa
Specialty Labs Pllc
Synergy Health And Wellness
Evolution Joint Pain Clinic
Treasure Valley Metabolic Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho