Individual
LOIS BOOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
168 N CASEVILLE RD, PIGEON, MI 48755-9415
(989) 453-2141
(989) 453-4450
Mailing address
168 N CASEVILLE RD, PIGEON, MI 48755-9415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704170800
MI
Other
Enumeration date
09/01/2013
Last updated
03/30/2021
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