Lisa Kristen Boohar in Modesto - Radiation Oncology
Lisa Kristen Boohar - NPI 1063403707
Lisa Kristen Boohar is a Radiation Oncology in Modesto, California. Lisa Kristen Boohar practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Lisa Kristen Boohar is 1063403707. The last update date is 2021-12-17.
Lisa Kristen Boohar's current location address is 4301 N Star Way, Modesto, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for Lisa Kristen Boohar is 4301 N Star Way, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Kristen Boohar |
|---|---|
| Address | 4301 N Star Way, Modesto, California |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063403707 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2021-12-17 |
Provider Mailing Address Detail
| Address | 4301 N Star Way |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953569262 |
| Phone Number | 2093422300 |
| Fax Number | 2095244240 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | A70556 |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A705560 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa Kristen Boohar by the Centers for Medicare & Medicaid Services?
The Lisa Kristen Boohar has been assigned the NPI (National Provider Identifier) 1063403707 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Lisa Kristen Boohar is geographically located?
The Lisa Kristen Boohar is physically situated at the following location: 4301 N Star Way, Modesto, CA, 953569262.
What is Lisa Kristen Boohar's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Kristen Boohar is Radiation Oncology, and the corresponding taxonomy classification code for this specialized field is 2085R0001X.
When did Lisa Kristen Boohar receive its 1063403707 assignment?
The Lisa Kristen Boohar was assigned its 1063403707 on 2005-11-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Lisa Kristen Boohar, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lisa Kristen Boohar, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-17.
NPI Number: 1336142389
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