Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucy Bolerjack, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1346815875

Lucy Bolerjack, DO is an Obstetrics/Gynecology in Jacksonville, Florida. Graduated from Michigan State University College of Human Medicine in 2021, 5 years ago. Practices with Womens Care Florida LLC, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
5
Trained at
Michigan State University College of Human Medicine
Licensed in
FL, MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

836 Prudential Dr Ste 1202
Jacksonville, FL 32207-8339
Phone: (904) 493-5323
Fax: (866) 554-1605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 — (810) 606-5000

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence OS22431 (FL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 5151014839 (MI)

Record details

NPI number1346815875
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing addressPo Box 748817, Atlanta, GA 30374-8817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2021 (5 years in practice)
Group practice Womens Care Florida Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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