Individual
LAURIE A. BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 GREENFIELD AVE, HANFORD, CA 93230-3513
(559) 582-9000
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2664
(510) 879-9099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP12024
CA
Other
Enumeration date
08/12/2006
Last updated
06/02/2009
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