Doctor Name: | MS. JACQUELINE LAVON BOECK |
NPI Number: | 1225294820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1800 |
Business Practice Address: | 1031 E 5th St Cushing, OK - 740234503 |
Business Phone Number: | 9182250031 |
Business Fax Number: | |
Mailing Address: | 1031 E 5th St, CUSHING |
State: | OK |
Postal Code: | 740234503 |
Phone Number: | 9182250031 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2008 |
NPI Last Update Date: | 08/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2278P1004X |
License Number: | 1800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Respiratory Therapist, Certified |
Taxonomy Specialization: | Pulmonary Diagnostics |
Taxonomy Definition: | Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological and sleep disorders studies. |