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Individual

LAWRENCE C BOYNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CFA

Contact information

Practice address
611 E DOUGLAS RD STE 108, MISHAWAKA, IN 46545-1464
(574) 968-9100
(574) 217-4824
Mailing address
611 E DOUGLAS RD STE 108, MISHAWAKA, IN 46545-1464
(574) 968-3516
(574) 217-4824

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27033142A
IN

Other

Enumeration date
04/14/2006
Last updated
02/10/2021
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