Individual
LENNIS K BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1205 SE PROFESSIONAL MALL BLVD, SUITE 104, PULLMAN, WA 99163-5423
(509) 332-2605
(509) 334-5754
Mailing address
1205 SE PROFESSIONAL MALL BLVD, SUITE 104, PULLMAN, WA 99163-5423
(509) 332-2605
(509) 334-5754
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M5747
ID
208000000X
Pediatrics Physician
Primary
MD0027662
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8124323
—
WA
Enumeration date
11/25/2005
Last updated
01/13/2011
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