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Organization

BOFFO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN M LANE MD (PRESIDENT)
(804) 396-0372
Entity
Organization

Contact information

Practice address
313 CHESWICK LN, HENRICO, VA 23229-7661
(804) 396-0372
Mailing address
313 CHESWICK LN, HENRICO, VA 23229-7661
(804) 396-0372

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
07/22/2022
Last updated
07/22/2022
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