Individual provider · Type 1 NPI

Lisa Marie Meredith Bourbeau, DO

Obstetrics Physician · Austin, TX

NPI number 1376003764 Active

Practice location

11111 Research Blvd
Austin, TX 78759-5264

Call (512) 324-6000 Map

Fax (512) 406-7348

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142

Specialties and licenses

TaxonomyCodeLicense
Obstetrics Physician Primary 207VX0000XU3794 (TX)

Obstetrics Physician: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

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About NPI 1376003764

Lisa Marie Meredith Bourbeau, DO's National Provider Identifier is 1376003764, issued on Mar 21, 2019. The primary taxonomy on file is Obstetrics Physician (207VX0000X), and the practice location is in Austin, TX. The record was last updated on Aug 4, 2023.