Individual
LORI MARIE BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4090 EAGLE NEST DR, EVANS, GA 30809-4812
(706) 836-0246
Mailing address
4090 EAGLE NEST DR, EVANS, GA 30809-4812
(706) 836-0246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN192824
GA
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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