Individual ProviderLauren Alexandra WilmottChiropractorChiropractic ProvidersPractice Address405 S 8th St Ste 295, Boise, ID 83702-7100(208) 342-7136(415) 497-8724PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Alexandra Wilmott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1023798634Provider TypeIndividualFull NameWilmott, Lauren AlexandraCredentialDCGenderFemaleSole ProprietorNoEnumeration Date7/19/2023Last Updated7/19/2023Contact InformationPractice LocationPractice Address405 S 8th St Ste 295, Boise, ID 83702-7100Phone(208) 342-7136FaxUnlisted FaxMailing LocationMailing Address3571 N Rock Creek Ln, Boise, ID 83703-6221Phone(415) 497-8724FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCHIA-2354Idaho