Nathan Lausch

NPI 1841068871 · on the registry since 2023 · sole proprietor

Practice

Address: 1920 E 17th St Ste 330
Idaho Falls, ID 83404
Phone: (208) 534-8303
Fax: (208) 277-2202
Organisation at this address: Jjst Enterprises Corp
Evergreen Counseling Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

2235 E 25th St Ste 200, Idaho Falls, ID

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-12-19

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