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LEO R BOISVERT D.C.

Chiropractic Providers Chiropractor Pediatric Chiropractor

Provider NPI: 1912924655

Provider Information:
 LEO R BOISVERT D.C.
Gender: M
Not Sole Proprietor

Practice Location:
101 MALABU DR SUITE #10 LEXINGTON, KY 40503-3141 US
Tel: 859-277-7521  Fax: 859-275-2020

Business Mailing Address:
101 MALABU DR SUITE #10 LEXINGTON, KY 40503-3141 US
Tel: 859-277-7521  Fax: 859-275-2020

NPI Information:
NPI: 1912924655
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111NP0017XChiropractic Providers
Chiropractor
Pediatric Chiropractor
KY5052

Other Provider Identifiers:

IssuerNumberStateType
0017382990001PA05



American Medical Association 2012 taxonomy code information

Code: 111NP0017X

Type:

Classification:



Definition:



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