Most Relevant Information
Provider Data
| NPI Number: | 1003235706 |
| Provider Name: | LAUREN ELIZABETH BOUDREAUX DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | OP60565798 |
Most Important Dates
| Enumeration Date: | 04/09/2014 |
| Last Updated: | 10/10/2024 |
Provider Practice Location
2415 NE 134TH ST STE 107
VANCOUVER
WA
986863031
Practice Location Phone/Fax
| Phone: | 3605763340 |
| Fax: | 5033628435 |
Provider Mailing Location
1793 13TH ST SE
SALEM
OR
973022541
Provider Mailing Phone/Fax
| Phone: | 0336283855 |
| Fax: | 5033628435 |