MISS Lisa Marie Boomers LLPC

  • NPI 1477900819
According to our database, the NPI number for MISS Lisa Marie Boomers LLPC is 1477900819 and activated since 7 years ago. MISS Lisa Marie Boomers LLPC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1215 Fulton St E, Grand Rapids, MI 49503. You can also contact MISS Lisa Marie Boomers LLPC via telephone number is (616) 742-0351. Provider NPI information was last updated on 04/02/2020.

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Overview of MISS Lisa Marie Boomers LLPC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/16/2016
  • Last updated: 04/02/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 6401017408
  • License State: MI

Provider Mailing Address

  • Address: 1800 W Main St Lot 56
    Lowell, MI 49331
  • Phone: 616-901-0401
  • Fax:

Provider Practice Location

  • Address: 1215 Fulton St E
    Grand Rapids, MI 49503
  • Phone: 616-742-0351
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MISS Lisa Marie Boomers LLPC?
  • A: The npi number for MISS Lisa Marie Boomers LLPC is 1477900819.
  • Q: What are MISS Lisa Marie Boomers LLPC's specialties?
  • A: MISS Lisa Marie Boomers LLPC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MISS Lisa Marie Boomers LLPC?
  • A: The medical license number for MISS Lisa Marie Boomers LLPC is 6401017408 and issued in MI in USA.
  • Q: Where is MISS Lisa Marie Boomers LLPC practice location?
  • A: MISS Lisa Marie Boomers LLPC is practicing at 1215 Fulton St E, Grand Rapids, MI 49503.
  • Q: How to contact MISS Lisa Marie Boomers LLPC?
  • A: You can contact MISS Lisa Marie Boomers LLPC via 616-742-0351.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
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Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.