Individual
LAUREN ELIZABETH BOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3286 NORTHSIDE PKWY NW UNIT 1000, ATLANTA, GA 30327-2223
(404) 841-8450
Mailing address
3286 NORTHSIDE PKWY NW UNIT 1000, ATLANTA, GA 30327-2223
(404) 841-8450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
12961
GA
Other
Enumeration date
01/31/2025
Last updated
04/27/2025
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