Individual
LAURIE ANN BOHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1229 SPRING LAKE RD, QUINCY, IL 62305-7763
(217) 779-8629
Mailing address
1229 SPRING LAKE RD, QUINCY, IL 62305-7763
(217) 779-8629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020345
IL
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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