Laurence Hicks, D.O

NPI 1730283250 · on the registry since 2006 · sole proprietor

Practice

Address: 236 Martin St
Twin Falls, ID 83301
Phone: (208) 733-4444
Fax: (208) 733-4456
Organisation at this address: Southern Idaho Pain Institute P.C.
Falls Centre For Functional Medicine, Pllc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-06-11

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