- Practice location
- 2 Great Falls Plz Ste 21, Auburn, ME 04210-5966
- Phone
- 207-330-3950
- Fax
- 207-330-3955
- Last updated
- November 8, 2022
Lisa Jean Boucher is a Physician Assistant, Medical based in Auburn, ME. Lisa Jean Boucher practices in Auburn, ME and has the professional credentials of PA-C. The NPI Number for Lisa Jean Boucher is 1730285982 and holds a License No. 5606 (NY). The current practice location address for Lisa Jean Boucher is 2 Great Falls Plz Ste 21, Auburn, ME 04210-5966 and can be reached out via phone at 207-330-3950 and via fax at 207-330-3955.
Provider Profile Details
- NPI Number
- 1730285982
- Provider Name
- Lisa Jean Boucher
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Great Falls Plz Ste 21, Auburn, ME 04210-5966
- Phone Number
- 207-330-3950
- Fax Number
- 207-330-3955
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 15, 2006
- Last Update Date
- November 8, 2022
- Certification Date
- November 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Great Falls Plz Ste 21
Auburn, ME 04210-5966 - City
- Auburn
- State
- Maine
- Zip
- 04210-5966
- Phone Number
- 207-330-3950
- Fax Number
- 207-330-3955
Provider Business Mailing Address Details
- Address
- Po Box 95000 Lbx 7650
Philadelphia, PA 19195-0001 - City
- Philadelphia
- State
- PA
- Zip
- 19195-0001
License Information
- License Number (1)
- 5606
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA646
- License State (2)
- ME
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 001342
- License State (3)
- CT
- Taxonomy (3)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Lisa J Boucher, PA-C?
The NPI number of Ms. Lisa J Boucher, PA-C is 1730285982. It was assigned on September 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Lisa J Boucher, PA-C?
Ms. Lisa J Boucher, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 5606.
Where does Ms. Lisa J Boucher, PA-C practice?
The practice location is 2 Great Falls Plz Ste 21, Auburn, ME 04210-5966. The office can be reached at 207-330-3950 (phone) or 207-330-3955 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730285982 directly on the NPPES registry website.