LAUREN BOLES

FORT WAYNE, IN
NPI1235633876
Former NameLAUREN GILBERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71007946A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28207858A)
Enumeration Date2018-03-20
Last Update Date2022-10-11
Business Address
LAUREN BOLES
1818 CAREW ST STE 255
FORT WAYNE, IN 46805-4790
Phone number: 260-266-5260
Mailing Address
LAUREN BOLES
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: