Provider Demographics
NPI:1386390318
Name:BOYD, LAUREN JESSICA (PA-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:JESSICA
Last Name:BOYD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:156 RIDGE COUNTRY
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-3568
Mailing Address - Country:US
Mailing Address - Phone:830-302-0960
Mailing Address - Fax:
Practice Address - Street 1:479 OXFORD DR UNIT 104
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5479
Practice Address - Country:US
Practice Address - Phone:830-302-0960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical