Provider Demographics
NPI:1184828014
Name:BOVEE, LAURA B (DC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:B
Last Name:BOVEE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 N RIVER ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1334
Mailing Address - Country:US
Mailing Address - Phone:570-814-5593
Mailing Address - Fax:877-587-4487
Practice Address - Street 1:3 N RIVER ST
Practice Address - Street 2:SUITE 104
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1334
Practice Address - Country:US
Practice Address - Phone:570-814-5593
Practice Address - Fax:877-587-4487
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA009871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor