NPI 1003057324
Laurie Ann Bohler, CPHT
Practice location
- Address
- 2104 Massey Ave Branch Medical Clinic Nas Mayport, Jacksonville, FL 32224
- Phone
- (904) 270-4205
- Fax
- (904) 270-4454
- Mailing address
- 244 Otterwood CT, Jacksonville, FL 32225-3900
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1003057324
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Mar 2009
- Record last updated
- 17 Mar 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.