Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA M BOUCHER
ActiveDiagnostic Sonographer · PUNTA GORDA, FL
Registration Details
- NPI Number
- 1184812703
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2007 (18.534990011214 yrs)
- Last Updated
- Oct 14, 2009
- License
-
53741 (MA)
Practice Information
- Address
-
265 E MARION AVEPUNTA GORDA, FL, 339503715Browse FL providers · Browse ZIP 33950
- Phone
- 9416298001
- Fax
- 9417660001
- Primary Specialty
-
Diagnostic Sonographer
2471S1302X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.