Individual
LUCY BOLERJACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
836 PRUDENTIAL DR STE 1202, JACKSONVILLE, FL 32207-8339
(904) 493-5323
(866) 554-1605
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5151014839
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
OS22431
FL
Other
Enumeration date
05/26/2021
Last updated
07/11/2025
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