MS. Lisa Jean Boucher, P.A.-C

NPI #1730285982 in Auburn, Maine

Provider Information

NPI Number
1730285982
Entity Type
Individual
Name
MS. Lisa Jean Boucher, P.A.-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
P.A.-C
Enumeration Date
Sep 15, 2006
Last Updated
Nov 8, 2022

Practice Location

Address
2 GREAT FALLS PLZ STE 21
City
Auburn
State
Maine
ZIP Code
04210-5966
Phone
(207) 330-3950

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical

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