Individual
LEO R BOISVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
101 MALABU DR, SUITE #10, LEXINGTON, KY 40503-3141
(859) 277-7521
(859) 275-2020
Mailing address
101 MALABU DR, SUITE #10, LEXINGTON, KY 40503-3141
(859) 277-7521
(859) 275-2020
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
5052
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017382990001
—
PA
Enumeration date
07/17/2006
Last updated
08/27/2012
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