Laurie Boulware, PT, DPT, CSCS

NPI 1093753741 · on the registry since 2006

Practice

Address: 26921 Crown Valley Pkwy
Suite 120
Mission Viejo, CA 92691
Phone: (949) 582-2555
Organisation at this address: John Witczak, Do, Pc
Warren J Reuland Md Pc
Western Pacific Med-Corp
Crown Valley Surgery Center
Mission Endoscopy Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California