IndividualActive
Lawrence Green, M.D.
NPI 1386692333 · Neurology Physician · Nampa, ID
Provider details
- NPI number
- 1386692333
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-3814 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
16060 Idaho Center Blvd
Nampa, ID 83687
Phone: (208) 467-3368
Fax: (208) 467-3360
Approximate (ZIP-level) locationGet directions
Mailing address
16060 Idaho Center Blvd
Nampa, ID 83687
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.