Organization
LYSTER ARMY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN ANN BOOZER (RN)
(334) 255-7033
Entity
Organization
Contact information
Practice address
ANDREWS AVE, BUILDING 301, FT RUCKER, AL 36362
(334) 255-7033
Mailing address
ANDREWS AVENUE, BLDG 301, FT RUCKER, AL 36362
(334) 255-7033
Taxonomy
Speciality
Code
Description
License number
State
261QM1102X
Military Outpatient Operational (Transportable) Component Clinic/Center
Primary
1-044039
AL
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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