Individual
LEE ANNA BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
518 WEST GUM STREET, MARION, KY 42064-1516
(270) 965-5238
(270) 965-9015
Mailing address
PO BOX 559, MARION, KY 42064-0559
(270) 965-5238
(270) 965-9015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005294
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000533779
ANTHEM BLUE CROSS
KY
05
—
7100016000
—
KY
Enumeration date
09/07/2007
Last updated
02/09/2011
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