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Individual

LAWRENCE BOYSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-5720
(708) 923-5760
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-5720
(708) 923-5760

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036067150
IL
208M00000X
Hospitalist Physician
036067150
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036067150
IL
Enumeration date
08/03/2005
Last updated
10/14/2025
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