Lawrence Harold Boram, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

01023203A Issued in IN

Practice address

1918 Charbdin PL
Louisville, KY 40207-1678

Phone

(502) 893-3355

Fax

(502) 721-9825

NPI assigned

Jul 28, 2011

Last updated

Jul 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1104104801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 CHARBDIN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071678",
            "telephone_number": "502-893-3355",
            "fax_number": "502-721-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 CHARBDIN PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071678",
            "telephone_number": "502-893-3355",
            "fax_number": "502-721-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAM",
        "first_name": "LAWRENCE",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01023203A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Shehade Booth
• Migion Migion Booth, LPCA
• Rebecca J Booth, MD
• Stephen J Booth, CRNA
• Jodee Borah, PHARMD
• Maria Bernadette Bordador, PTA
• Ashley Borden
• David E Borden, M.D.
• Lisa S Borden, MD
• Brandon Borders, PHARM.D.

• Anatomic Pathology & Clinical Pathology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.