Individual
LYNNE BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-0001
(302) 733-2633
(302) 623-7374
Mailing address
PO BOX 30170, WILMINGTON, DE 19805-7170
(302) 623-7362
(302) 623-7374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0000404
DE
Other
Enumeration date
11/21/2006
Last updated
08/04/2008
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