Individual
LAUREN E BOVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.A.
Contact information
Practice address
16 VAN COTT RD STE 2E, DEER PARK, NY 11729-6519
(631) 274-0777
Mailing address
16 VAN COTT RD STE 2E, DEER PARK, NY 11729-6519
(631) 274-0777
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
P86106
NY
Other
Enumeration date
10/16/2012
Last updated
10/30/2013
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