Individual
MRS. LANIE MICHELE BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
909 CASTLEMAINE DR, BIRMINGHAM, AL 35226-5913
(337) 739-6760
Mailing address
909 CASTLEMAINE DR, BIRMINGHAM, AL 35226-5913
(337) 739-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26949
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51545527
BCBS
AL
Enumeration date
11/28/2007
Last updated
04/03/2008
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