Lawrence Harold Boram, M.D. Valid NPI

Individual provider · Anatomic Pathology & Clinical Pathology Physician · Louisville, KY

NPI

1104104801

Type

Individual (Type 1)

Primary specialty

Anatomic Pathology & Clinical Pathology Physician (Pathology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207ZP0102X

License number

01023203A (IN)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-07-28

Last updated

2011-07-28