| NPI Details | |
|---|---|
| NPI | 1760801674 |
| Gender | Female |
| Enumeration Date | 04/08/2014 |
| Last Updated | 04/08/2014 |
| Entity Type | Individual |
| Active | Over 4 years ago |
| Practice Location | |
|---|---|
| 4090 EAGLE NEST DR EVANS GA, 30809-4812, US |
|
| Phone | (706) 836-0246 |
| Fax | |
| Business Location | |
|---|---|
| 4090 EAGLE NEST DR EVANS GA, 30809-4812, US |
|
| Phone | (706) 836-0246 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 367500000X |
| License State | Georgia |
| License Number | RN192824 |
| Remove 1760801674 NPI Number | |
According to our database, Lori Marie Boswell CRNA NPI is 1760801674, taxonomy code is 367500000X and license number is RN192824, license state is located at Georgia. Lori Marie Boswell CRNA physically located at 4090 Eagle Nest Dr, Evans GA, 30809-4812. NPI Number Lori Marie Boswell CRNA has the Individual type.
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1760801674 NPI number is provided on an as is basis without warranty of any kind. 1760801674 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Marie Boswell CRNA are for informational purposes only.
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