Individual
LAUREN MICHELLE BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
336 LEATHERWOOD DR, MARYVILLE, TN 37803-0523
(865) 983-0405
Mailing address
336 LEATHERWOOD DR, MARYVILLE, TN 37803-0523
(865) 983-0405
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
167506
TN
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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