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Lauren E Bovelle, RPA
Medical Physician Assistant in Deer Park, New York
NPI 1679826697

Lauren E Bovelle is a Medical Physician Assistant based in Deer Park, NY and is specialized in Medical. Lauren E Bovelle practices in Deer Park, NY and has the professional credentials of RPA. The NPI Number for Lauren E Bovelle is 1679826697 and holds a License No. P86106 (New York).

The current practice location address for Lauren E Bovelle is 16 Van Cott Rd Ste 2E, Deer Park, NY and can be reached out via phone at 631-274-0777.

Location: 16 Van Cott Rd Ste 2E, Deer Park, NY, 11729-6519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679826697
Provider Name
Lauren E Bovelle
Credential
RPA
Provider Entity Type
Individual
Gender
Female
Address
16 Van Cott Rd Ste 2E, Deer Park, NY, 11729-6519
Phone Number
631-274-0777
Fax Number
Provider Enumeration Date
10/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16 Van Cott Rd Ste 2E
City
Deer Park
State
New York
Zip
11729-6519
Phone Number
631-274-0777
Fax Number
person
Provider Business Mailing Address Details
Address
16 Van Cott Rd Ste 2E
City
Deer Park
State
New York
Zip
11729-6519
Phone Number
631-274-0777
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
P86106 (New York)
Definition
Definition to come...
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