Individual
MISS LAURA C BOINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
105 DOCTORS DR, SUITE 212, GREENVILLE, SC 29605-5608
(864) 797-7060
(864) 797-7065
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1002
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0280
—
SC
Enumeration date
01/29/2007
Last updated
05/26/2021
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