Lauren M Boettcher
NPI #1891253514 in Stony Brook, New York
Provider Information
- NPI Number
- 1891253514
- Entity Type
- Individual
- Name
- Lauren M Boettcher
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 12, 2019
- Last Updated
- Mar 12, 2019
Practice Location
- Address
- 38 STRATTON LN
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-3222
- Phone
- (631) 905-6843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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