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

LISSETTE MARIE BOURET, MD

Active Sole Proprietor

LISSETTE MARIE BOURET, MD is a Family Medicine healthcare provider located in MALDEN, Massachusetts. NPI 1649373580 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MALDEN, MA

Registration Details

NPI Number
1649373580
Provider Type
Individual
Gender
Female
NPI Issued
Sep 6, 2006 (19.895379846888 yrs)
Last Updated
Aug 23, 2016
Licenses
14725 (PR)
265252 (MA)
Sole Proprietor
Yes

Practice Information

Address
219 CENTRE ST
MALDEN, MA, 021485524
Browse MA providers · Browse ZIP 02148
Phone
7813227300
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in MALDEN, MA

Name Credential NPI
DR. PATRICIA ANN SERENO MD 1154310076
ANDREA E GORDON MD 1811986292
MATTHEW Y SIU MD 1467441816
PANSY SIU-LAI MD 1376532721
MOLLY B COHEN-OSHER MD 1073550711
DR. JUDY THERESA PLATT MD 1467497917
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.