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Ms. Lisa Marie Boucher, PA-C
Physician Assistant in Wyandotte, Michigan
NPI 1679709463

Lisa Marie Boucher is a Physician Assistant based in Trenton, MI. Lisa Marie Boucher practices in Wyandotte, MI and has the professional credentials of PA-C. The NPI Number for Lisa Marie Boucher is 1679709463 and holds a License No. 5601005490 (Michigan).

The current practice location address for Lisa Marie Boucher is 2333 Biddle Ave, Wyandotte, MI and can be reached out via phone at 734-246-6000.

Location: 2333 Biddle Ave, Wyandotte, MI, 48183-2040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679709463
Provider Name
Lisa Marie Boucher
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2333 Biddle Ave, Wyandotte, MI, 48183-2040
Phone Number
734-246-6000
Fax Number
Provider Enumeration Date
06/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0H28864 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
734-246-6000
Fax Number
person
Provider Business Mailing Address Details
Address
2333 Biddle Ave
City
Wyandotte
State
Michigan
Zip
48192-4668
Phone Number
734-246-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601005490 (Michigan)
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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