Lisa M Boucher

Individual provider Sonography Radiologic Technologist · NPI 1184812703

Lisa M Boucher is a Sonography Radiologic Technologist in Punta Gorda, Florida. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in: MA
In the registry since: 2007

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Practice location Address checks out

265 E Marion Ave
Punta Gorda, FL 33950-3715 Not confirmed with CMS for 16 years — call before visiting
Phone: (941) 629-8001
Fax: (941) 766-0001

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sonography Radiologic Technologist (primary)	Taxonomy 2471S1302X · Licence 53741 (MA)

Record details

NPI number	1184812703
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	October 9, 2007
Last updated in NPPES	October 14, 2009