LISA M BOUCHER


Address: 265 E Marion Ave, Punta Gorda, FL 33950-3715
Phone: 9416298001

LISA M BOUCHER (NPI# 1184812703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184812703
Entity Type Individual
Full Name LISA M BOUCHER
Practice Address 265 E Marion Ave
Punta Gorda
FL 33950-3715
Mailing Address 27511 Lippizzan Trl
Punta Gorda
FL 33950-8331
Practice Telephone 9416298001
Practice Fax Number 9417660001
Mailing Telephone 9414212116
Mailing Fax Number 9414212116
Enumeration Date 2007-10-09
Last Update Date 2009-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471S1302X Radiologic Technologist
Specialization: Sonography
53741 MA Technologists, Technicians & Other Technical Service Providers

Other Providers LISA BOUCHER

NPI Name Taxonomy Address Enumeration
1679709463 Lisa Marie Boucher Physician Assistant 2333 Biddle Ave, Wyandotte, MI 48192-4668 2009-06-07
1033210182 Lisa A. Boucher Nurse Practitioner 500 Salisbury St, Assumption College - Student Health Services, Worcester, MA 01609-1265 2006-09-25
1730285982 Lisa Jean Boucher Physician Assistant 2 Great Falls Plz Ste 21, Auburn, ME 04210-5966 2006-09-15

Office Location

Street Address 265 E MARION AVE
City PUNTA GORDA
State FL
Zip Code 33950-3715

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295291979 Kristin Wilson Nurse Practitioner 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 2019-02-18
1750856993 Medical Risk Solutions Family Medicine 514 East Grace Street, Punta Gorda, FL 33950 2018-10-03
1457858607 Janet Miller Dawson Nurse Practitioner Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 2018-04-12
1730689290 Suncoast Neuropsychiatric Wellness Center LLC Psychiatry & Neurology 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 2018-02-20
1306351424 Laura Cara Carlisle Developmental Therapist 2440 W Marion Ave, Punta Gorda, FL 33950 2017-12-12
1629591722 Rachel Guyton Irias Behavior Technician 321 W Grace St, Punta Gorda, FL 33950 2017-07-20
1730636713 William Bartley Hoke Specialist/Technologist 733 E.oympia Ave, Punta Gorda, FL 33950 2016-09-07
1861868770 Jason Burns Physical Therapist 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 2015-08-14
1073935409 Heather Lynn Darmetko Nurse Practitioner 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 2014-01-21
1568706380 Steven Michael Byrne Nurse Practitioner 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 2012-11-16
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Taxonomy Information

Taxonomy Code 2471S1302X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Sonography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205450160 Rebecca K Stringer Radiologic Technologist 812 Willow St, Destin, FL 32541-1541 2020-06-05
1346716248 Keila Alfonso Radiologic Technologist 8073 W 36th Ave Apt 1, Hialeah, FL 33018-1804 2018-10-17
1114419264 Briton William Nealey Radiologic Technologist 1971 W Lumsden Rd Ste 106, Brandon, FL 33511-8820 2018-06-05
1437659836 Alla Mezhevaya Radiologic Technologist 109 Graham St Sw, Port Charlotte, FL 33952-9122 2018-02-13
1811403181 Oswald E Ramos Sr. Radiologic Technologist 9776 S Military Trl Ste D21, Boynton Beach, FL 33436-3219 2017-12-21
1043732308 Ic Sonography Inc Radiologic Technologist 8401 Nw 8th St, Pembroke Pines, FL 33024-6633 2017-07-07
1548705254 Hector Garcia Radiologic Technologist 13342 Sw 28th St, Miami, FL 33175-7124 2017-01-04
1114461985 Lindsay Arrington Radiologic Technologist 3034 52nd St N, Saint Petersburg, FL 33710-2616 2016-12-13
1770039463 Mario Guillermo Rodriguez Radiologic Technologist 17 W 10th St Apt 4, Hialeah, FL 33010-4098 2016-08-31
1275992224 Masiely Abreu Radiologic Technologist 1900 N Bayshore Dr # 1a162, Miami, FL 33132-3001 2016-02-18
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Competitor

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City PUNTA GORDA
Zip Code 33950

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Dataset Information

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.

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