Individual
BROOKE LYNN BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 NORTH HAZEL ST., HAMMOND, LA 70401
(985) 549-2253
Mailing address
800 GALLOWAY DR, HAMMOND, LA 70402-0001
(985) 549-2253
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
AL5227
FL
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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