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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
53741 | MA | Technologists, Technicians & Other Technical Service Providers |
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 |
Street Address |
265 E MARION AVE |
City | PUNTA GORDA |
State | FL |
Zip Code | 33950-3715 |
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 |
Find all providers in zip 33950 |
Taxonomy Code | 2471S1302X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Sonography |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | PUNTA GORDA |
Zip Code | 33950 |
Please comment or provide details below to improve the information on LISA M BOUCHER.
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.