LORAINE ELIZABETH BOOZE

CHARLESTON, SC
NPI1760780803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: SC  1620)
Enumeration Date2011-03-13
Last Update Date2013-12-05
Business Address
-- LORAINE ELIZABETH BOOZE PA-C
2295 HENRY TECKLENBURG DR
CHARLESTON, SC 29414-7801
Phone number: 843-766-7103
Mailing Address
-- LORAINE ELIZABETH BOOZE PA-C
2295 HENRY TECKLENBURG DR
CHARLESTON, SC 29414-7801
Phone number: 843-766-7103
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