Basic Information
| Provider Information | |||||||||
| NPI: | 1750515821 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOSCHINI | ||||||||
| FirstName: | LAURA | ||||||||
| MiddleName: | PATRICIA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 MANNING DR # 7050 | ||||||||
| Address2: | DEPT OF SURGERY | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275144220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199661072 | ||||||||
| FaxNumber: | 9199667841 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 MANNING DR. CB# 7050 | ||||||||
| Address2: | DEPT OF SURGERY | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275144220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199661072 | ||||||||
| FaxNumber: | 9199667841 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2009 | ||||||||
| LastUpdateDate: | 05/05/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 156939 | NC | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.