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Individual
LAUREN NICOLE BOUCHIE
Active
Individual
LAUREN NICOLE BOUCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002473A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002473A
INDIANA LICENCES
IN
Enumeration date
08/02/2018
Last updated
09/21/2026
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