NPI 1083175350 · live from the CMS NPI Registry
Lauren Nicole Boehm, MD
Family Medicine in Portland, ME. National Provider Identifier 1083175350, active.
NPI record
| NPI | 1083175350 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 22 Bramhall St, Portland, ME 04102 |
| Practice phone | 207-662-0111 |
| Enumerated | March 28, 2019 |
| Last updated | June 13, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospitalist | 208M00000X | MD25726 (ME) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | MD25726 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.