LANNY L BOSWELL


Address: 2000 Trident Way, San Diego, CA 92155-5599
Phone: 6194372361

LANNY L BOSWELL (NPI# 1790835627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790835627
Entity Type Individual
Full Name LANNY L BOSWELL
Credential PHD
Practice Address 2000 Trident Way
San Diego
CA 92155-5599
Practice Telephone 6194372361
Practice Fax Number 6194373197
Mailing Telephone 6194372361
Mailing Fax Number 6194373197
Enumeration Date 2007-01-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 2251E1300X Physical Therapist
Specialization: Electrophysiology, Clinical
PT15984 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
X 2251S0007X Physical Therapist
Specialization: Sports
PT15984 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
X 2251X0800X Physical Therapist
Specialization: Orthopedic
PT15984 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2000 TRIDENT WAY
City SAN DIEGO
State CA
Zip Code 92155-5599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578534897 Korrina Rene Schindler Physician Assistant 2000 Trident Way, Medical Department Code 04, San Diego, CA 92155-5599 2006-01-27
1891227849 Matthew Andreolli Contractor 2000 Trident Way, 211, San Diego, CA 92155-5599 2017-03-29
1609284371 Timothy W Dey Physical Therapist 2000 Trident Way, Bldg #636, San Diego, CA 92155-5599 2014-07-25
1669804563 Jill Biggane Registered Nurse 2000 Trident Way, Bldg 600 Logsu, San Diego, CA 92155-5599 2013-08-01
1730224908 Kenneth J Kelly Emergency Medicine 2000 Trident Way, San Diego, CA 92155-5599 2007-02-21
1346260593 Katherine Anna Perlsweig Specialist/Technologist 2000 Trident Way, Bldg 624, San Diego, CA 92155-5493 2006-07-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134454770 Carrie Lynn Decker Military Health Care Provider Eod Exp Support Unit One, 3502 Attu Rd Bldg 326 San Diego Ca, Apo, AA 92155 2009-10-15
1578779559 Joe Leonard Bonvie Psychologist Naval Special Warfare Command, Medical Dept Code 04, 2000 Trident Way, San Diego, CA 92155 2007-05-15
1134350226 Christopher Robert Terry Military Health Care Provider 2446 Trident Way, Coranado, CA 92155 2009-08-06
1003840653 Robert David Gerardi Military Health Care Provider 2841 Rendova Road, San Diego, CA 92155 2006-07-10
1346597234 Jermy Joe Brower Military Health Care Provider Seal Team One 2534 Trident Way Bldg 614, San Diego, CA 92155-0001 2012-08-09
1720376684 Brittany A Hout Physician Assistant Anaconda Rd Bldg 262, San Diego, CA 92155-0001 2011-07-13
1639278682 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy Bouganville Rd, Bldg 506, San Diego, CA 92155-0001 2006-09-22
1902393176 Benjamin Alexander Sebreros Student in an Organized Health Care Education/Training Program 2446 Trident Way Bldg 637, San Diego, CA 92155-0001 2018-04-13
1790056372 U. S. Navy Military Hospital 3423 Guadalcanal Rd, Bldg 401 2nd Deck, San Diego, CA 92155-5000 2012-01-13
1366592248 Robert Ray Lowe Jr. Emergency Medicine 3400 Tarawa Rd, San Diego, CA 92155-5002 2007-01-11
Find all providers in zip 92155

Taxonomy Information

Taxonomy Code 2251E1300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Electrophysiology, Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083634588 Janet Stark Buttermore Physical Therapist 11858 Bernardo Plaza Ct, Suite 110, San Diego, CA 92128-2439 2006-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104072065 Scott Mccauley Physical Therapist 3450 Sawtelle Blvd, Unit 140, Los Angeles, CA 90066-2142 2008-08-12
1063548543 Susan Ann Rethlefsen Physical Therapist 4650 W Sunset Blvd Msc 69, Los Angeles, CA 90027-6062 2007-02-26
1366718165 Neurocare Electrodiagnostics A Physical Therapist 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 2012-03-26
1841564754 Charles H Chen Physical Therapist 600 W Main St, Suite 107, Alhambra, CA 91801-3300 2012-02-24
1902964117 Caliente Springs Physical Therapy Inc Physical Therapist 17350 Vailetti Dr, Sonoma, CA 95476-3356 2006-12-04

Competitor

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City SAN DIEGO
Zip Code 92155

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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