Lawrence Raymond Boly, MD Valid NPI

Individual provider · Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician · Martinez, CA

NPI

1053537852

Type

Individual (Type 1)

Primary specialty

Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician (Physical Medicine & Rehabilitation)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2081H0002X

License number

G488250 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-18

Last updated

2015-05-19