Provider Demographics
NPI:1740584234
Name:LEMICH, BOJA M (APRN)
Entity Type:Individual
Prefix:
First Name:BOJA
Middle Name:M
Last Name:LEMICH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:6729 OBANNON DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-2905
Mailing Address - Country:US
Mailing Address - Phone:702-553-7638
Mailing Address - Fax:702-944-7812
Practice Address - Street 1:6773 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-550-4222
Practice Address - Fax:702-478-9993
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2018-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVAPN000550363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health