Lisa Jean Boucher in Auburn - Physician Assistant
Lisa Jean Boucher - NPI 1730285982
Lisa Jean Boucher is a Physician Assistant in Auburn, Maine. Lisa Jean Boucher practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa Jean Boucher is 1730285982. The last update date is 2022-11-08.
Lisa Jean Boucher's current location address is 2 Great Falls Plz Ste 21, Auburn, Maine. You can contact this provider via phone number 2073303950 and fax number 2073303955. The mailing address for Lisa Jean Boucher is 2 Great Falls Plz Ste 21, Auburn, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Jean Boucher |
|---|---|
| Address | 2 Great Falls Plz Ste 21, Auburn, Maine |
| Phone Number | 2073303950 |
| Fax Number | 2073303955 |
| Sole Proprietor | Y |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1730285982 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2022-11-08 |
Provider Mailing Address Detail
| Address | 2 Great Falls Plz Ste 21 |
|---|---|
| City | Auburn |
| State | Maine (ME) |
| Post Code | 42105966 |
| Phone Number | 2073303950 |
| Fax Number | 2073303955 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5606 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2209570 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa Jean Boucher by the Centers for Medicare & Medicaid Services?
The Lisa Jean Boucher has been assigned the NPI (National Provider Identifier) 1730285982 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 Jean Boucher is geographically located?
The Lisa Jean Boucher is physically situated at the following location: 2 Great Falls Plz Ste 21, Auburn, ME, 42105966.
What is Lisa Jean Boucher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Jean Boucher is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Lisa Jean Boucher receive its 1730285982 assignment?
The Lisa Jean Boucher was assigned its 1730285982 on 2006-09-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Lisa Jean Boucher last refreshed?
The information related to the Lisa Jean Boucher, including its address, specialty, and other relevant details, was last updated on 2022-11-08.