Individual
LORA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1555 SOQUEL DR, DOMINICAN HOSPITAL, SANTA CRUZ, CA 95065
(831) 462-7700
Mailing address
1445 B 38TH AVE, SANTA CRUZ, CA 95062
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
41921
CA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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