Individual ProviderLauren MezierePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address190 E Bannock St, Boise, ID 83712-6241(208) 914-1695PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Meziere is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1821509704Provider TypeIndividualFull NameMeziere, LaurenCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date10/18/2017Last Updated10/4/2018Contact InformationPractice LocationPractice Address190 E Bannock St, Boise, ID 83712-6241Phone(208) 914-1695FaxUnlisted FaxMailing LocationMailing Address2460 N Pleasant Hill Way, Boise, ID 83702-5071PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer