Individual
LAURA BOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
540 N DUKE ST, 3RD FLOOR, LANCASTER, PA 17602-2374
(717) 544-4950
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP001993B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000243280
UNISON
PA
05
—
101521533
—
PA
01
—
1565991
GATEWAY
PA
01
—
209146
HEALTH AMERICA
PA
01
—
50082771
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
Enumeration date
07/26/2006
Last updated
04/12/2011
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