NPI age
14 years
Enumerated 2011-07-20
● Active
Type 1 · Individual
Lauren Addison Manfull, LMP
Manfull is 1 of 1 specialist providers in St Maries and 1 of 305 in Idaho.
Primary specialty
Specialist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2011-07-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 305 active specialist providers in Idaho.
NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-07Enumerated in NPPES
2011
2026
Where they practice
Practice location
315 W College Ave
St Maries, ID 838612035
Mailing address
100 Dugger St
St Maries, ID 838612434
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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