Physician Assistant
MAXFIELD LAWRENCE PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1578232815 · enumerated 2021-09-09 · record updated 2025-01-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1118 NW 16TH ST STE D, FRUITLAND, ID, 83619-2272 (208) 452-7677 Google Maps Apple Maps OpenStreetMap
- Mailing address 190 E BANNOCK ST, BOISE, ID, 83712-6241 (208) 381-8748 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA-2104 ID
In this directory
Locations and evidence
-
Practice location
FRUITLAND, ID, 836192272
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.