Individual
LAURIE K BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2428 JENKS AVE, PANAMA CITY, FL 32405-4304
(850) 215-6008
(850) 215-6020
Mailing address
2428 JENKS AVE, PANAMA CITY, FL 32405-4304
(850) 215-6008
(850) 215-6020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103644
FL
Other
Enumeration date
10/23/2006
Last updated
03/15/2023
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