Individual
LAUREN BOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4900 BROAD ROAD, SUITE 4V, SYRACUSE, NY 13215
(315) 492-3700
(315) 492-3596
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
341816
NY
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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