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NPI Code Detail

MEDICARE: GARRETT LAMAR BOYER PA-C

MEDICARE: GARRETT LAMAR BOYER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantMA055634PA

General Provider Information

NPI Number : 1790030328
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRETT LAMAR BOYER PA-C
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 25 LYSTRA ROGERS DR
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-8807
Country : US
Telephone Number : 570-523-3290
Fax Number : 570-524-5231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2012
Last Update Date : 01/27/2026

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