Lisa Boucek M.D.

NPI 1720498975 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1720498975
Gender Female
Enumeration Date 04/28/2014
Last Updated 04/28/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1919 E THOMAS RD
PHOENIX CHILDREN'S HOSPITAL
PHOENIX AZ, 85016-7710, US
Phone (602) 546-2923
Fax
Business Location
2252 N 44TH ST APT 3083
PHOENIX AZ, 85008-7225, US
Phone (217) 390-0026
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Lisa Boucek M.D. NPI is 1720498975, taxonomy code is 390200000X Lisa Boucek M.D. physically located at 1919 E Thomas Rd, Phoenix AZ, 85016-7710. NPI Number Lisa Boucek M.D. has the Individual type.

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1720498975 NPI number is provided on an as is basis without warranty of any kind. 1720498975 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Boucek M.D. are for informational purposes only.