DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMES ANTHONY BOUDREAU, MD

Deactivated

JAMES ANTHONY BOUDREAU, MD is a Family Medicine healthcare provider located in LEBANON, Indiana. NPI 1215923941 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · LEBANON, IN

This NPI has been deactivated. The record was deactivated on March 25, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1215923941
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2005 (0.49041095890411 yrs)
Last Updated
Oct 10, 2023
Deactivated
Mar 25, 2006
License
01053439A (IN)

Practice Information

Address
2705 N LEBANON ST STE 300
LEBANON, IN, 460528622
Browse IN providers · Browse ZIP 46052
Phone
7654858649
Fax
7654858650
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LEBANON, IN

Name Credential NPI
DR. ZSOLT SHEPHERD TAKACS M.D. 1942297627
TRICIA LYNN WRIGHT MD 1851388540
JUSTIN DAVID WRIGHT MD 1386613909
DR. JOHN JACOB SAALWAECHTER M.D. 1316997281
DR. ARTHUR FLORES MD 1346262771
PATRICK DOOLAN MD 1285710186
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.