Individual provider · Type 1 NPI

Melissa Christine Lebouton, PAC

Medical Physician Assistant · Sun City West, AZ

NPI number 1144471970 Active

Practice location

14418 W Meeker Blvd, Suite 110
Sun City West, AZ 85375-5283

Fax (623) 584-4945

Mailing address

6771 W Miner Trl
Peoria, AZ 85383-3008

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4327 (AZ)

Medical Physician Assistant: Definition to come...

20 other providers at this address

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About NPI 1144471970

Melissa Christine Lebouton, PAC's National Provider Identifier is 1144471970, issued on Oct 10, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sun City West, AZ. The record was last updated on Jul 27, 2011.