Individual provider · Type 1 NPI

Lisa Marie Boucher, PA-C

Physician Assistant · Wyandotte, MI

NPI number 1679709463 Active

Practice location

2333 Biddle Ave
Wyandotte, MI 48192-4668

Call (734) 246-6000 Map

Mailing address

1640 Fort St, Suite D Attne Denise
Trenton, MI 48183-2040

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601005490 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679709463

Lisa Marie Boucher, PA-C's National Provider Identifier is 1679709463, issued on Jun 7, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wyandotte, MI. The record was last updated on Feb 21, 2017.