Individual provider · Type 1 NPI

Laura Boone, PA

Surgical Physician Assistant · Hartford, CT

NPI number 1396745451 Active

Practice location

114 Woodland St, Dept Of Surgery
Hartford, CT 06105-1208

Call (860) 714-4694 Map

Fax (860) 714-8311

Mailing address

1000 Asylum Ave, Suite 2109A
Hartford, CT 06105-1770

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X000587 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1396745451

Laura Boone, PA's National Provider Identifier is 1396745451, issued on Jul 29, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Nov 11, 2021.