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Individual
LOIS J. BOSLEY
Active
Individual
LOIS J. BOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1302
WV
207Q00000X
Family Medicine Physician
35.005706
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006633
ANTHEM BCBS
—
01
—
000000185204
UNISON MEDICAID
OH
01
—
001714063
MOUNTAIN STATE BCBS
—
05
—
0053788000
—
WV
01
—
080048368
RR MEDICARE
—
01
—
0934921
MOLINA MEDICAID
OH
01
—
310917085160
CARESOURCE MEDICAID
OH
Enumeration date
05/20/2006
Last updated
11/25/2020
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