LISA BOUCHARD (NPI# 1083816870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083816870 |
| Entity Type | Individual |
| Full Name | LISA BOUCHARD |
| Credential | LMT, LAC |
| Practice Address |
311 Alfred St Biddeford ME 04005-3127 |
| Mailing Address |
314 Alfred St Biddeford ME 04005-3102 |
| Practice Telephone | 2072868416 |
| Practice Fax Number | 2072868440 |
| Mailing Telephone | 2072868416 |
| Mailing Fax Number | 2072868440 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC209 | ME | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM BCBS STAR # | 043580 | 01 |
| Street Address |
311 ALFRED ST |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629094313 | Robert J Bolduc Jr. | Optometrist | 311 Alfred St, Biddeford, ME 04005-3127 | 2006-07-14 |
| 1932678257 | Kara Lyn Welsh | Massage Therapist | 311 Alfred St, Biddeford, ME 04005-3127 | 2018-11-15 |
| 1265901797 | Stephanie Lynn Laverriere | Massage Therapist | 311 Alfred St, Biddeford, ME 04005-3127 | 2018-11-14 |
| 1376890822 | Eric Shane Lehouillier | Optometrist | 311 Alfred St, Biddeford, ME 04005-3127 | 2012-08-14 |
| 1346425741 | Robert J. Bolduc, Optometrist, P.a. | Durable Medical Equipment & Medical Supplies | 311 Alfred St, Biddeford, ME 04005-3127 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245634286 | Genevieve R Vaillancourt | Acupuncturist | 40 Main St, Ste 13-208, Biddeford, ME 04005 | 2014-10-20 |
| 1215330485 | David Clark Reece | Acupuncturist | 314 Alfred St, Biddeford, ME 04005-3102 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474824 | Hopespring Holistic Health Institute LLC | Acupuncturist | 1013 Old North Berwick Rd, Alfred, ME 04002-3731 | 2020-10-09 |
| 1316575939 | Peregrine Acupuncture | Acupuncturist | 178 Lower Main St, Freeport, ME 04032-1001 | 2020-03-30 |
| 1689222697 | Carrie Webster | Acupuncturist | 1725 Main St Ste 7, Sanford, ME 04073-2498 | 2019-09-03 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1689180986 | Acusharon | Acupuncturist | 251 Jefferson St, Waldoboro, ME 04572-6011 | 2017-12-21 |
| 1689189920 | Jessica Shinn Fromuth | Acupuncturist | 162 Main St. #7, Yarmouth, ME 04096-5716 | 2017-12-08 |
| 1073028809 | Health Point Traditional Acupuncture Ltd | Acupuncturist | 241 Us Route 1 Ste 104, Damariscotta, ME 04543-4715 | 2017-12-01 |
| 1558881268 | Heather Spangler | Acupuncturist | 54 Cumberland St Ste 2, Brunswick, ME 04011-1829 | 2017-06-23 |
| 1326568338 | Lauren Giacovas | Acupuncturist | 49 Pineland Dr Ste 201b, New Gloucester, ME 04260-5120 | 2017-06-21 |
| 1699205658 | Cleo Bittersweet Wolf | Acupuncturist | 100 Fore St Fl 2, Portland, ME 04101-4879 | 2017-06-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LISA BOUCHARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.