ERICHSEN BONOSTRO, PAC

Physician Assistant - Surgical

Active Individual
NPI: 1902170327

Practice Address

1324 LAKELAND HILLS BLVD
Lakeland, FL 33805

Phone: (863) 687-1321

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No PA9106442 (FL)
Physician Assistant - Surgical 363AS0400X Yes PA9106442 (FL)

Frequently Asked Questions

NPI 1902170327 is the National Provider Identifier for ERICHSEN BONOSTRO, PAC, a Physician Assistant - Surgical provider located in Lakeland, FL. This NPI was enumerated on March 2, 2012.
ERICHSEN BONOSTRO, PAC practices at 1324 LAKELAND HILLS BLVD, Lakeland, FL 33805.

Quick Facts

NPI
1902170327
Type
Individual
Enumerated
Mar 2, 2012
Last Updated
Jul 7, 2017

Nearby Providers