Dr. Lauren Nicole Boehm, MD
Family Medicine in Portland, ME. Individual provider (NPI-1).
NPI number1083175350
StatusActive
Last updated in NPPESJun 13, 2022
Details
- NPI
- 1083175350
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lauren Nicole Boehm
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2019
- Certification date
- Jun 13, 2022
- Last updated
- Jun 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD25726 | ME | Yes |
| 208M00000X | Hospitalist | MD25726 | ME | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-0111
Mailing address
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-0111
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