Individual provider · Type 1 NPI

Lisa Boucek, MD

Pediatric Adolescent Medicine Physician · Scottsdale, AZ

NPI number 1720498975 Active

Practice location

21807 N Scottsdale Rd
Scottsdale, AZ 85255

Call (480) 860-8488 Map

Fax (480) 860-8498

Mailing address

9827 N 95th St Ste 105
Scottsdale, AZ 85258-4591

Other practice locations

  • 1919 E Thomas Rd, Phoenix Children's Hospital, Phoenix, AZ 85016-7710 · (602) 546-2923
  • 2525 E Roosevelt St, Phoenix, AZ 85008-4948 · (833) 855-9973

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X54432 (AZ)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

7 other providers at this address

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About NPI 1720498975

Lisa Boucek, MD's National Provider Identifier is 1720498975, issued on Apr 28, 2014. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Scottsdale, AZ. The record was last updated on Sep 1, 2026.