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Individual

LORA L. BOFILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2300 E PARHAM RD, RICHMOND, VA 23228-3118
(804) 264-7808
(804) 346-3191
Mailing address
2300 E PARHAM RD, RICHMOND, VA 23228-3118
(804) 264-7808
(804) 346-3191

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243895
VA
207Q00000X
Family Medicine Physician
35-089017
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P2746050
OH
Enumeration date
03/12/2007
Last updated
07/11/2008
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