Individual
DR. LAWRENCE BOUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
102 CHRISTY PARK DR, INDIANA, PA 15701-1584
(724) 465-4080
(724) 465-6923
Mailing address
102 CHRISTY PARK DR, INDIANA, PA 15701-1584
(724) 465-4080
(724) 465-6923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 001387 L
PA
Other
Enumeration date
07/29/2005
Last updated
08/14/2012
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