Individual
LISA A. BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, BC, ANP
Contact information
Practice address
500 SALISBURY ST, ASSUMPTION COLLEGE - STUDENT HEALTH SERVICES, WORCESTER, MA 01609-1265
(508) 767-7329
(508) 767-7102
Mailing address
110 FARM POND RD, OAKHAM, MA 01068-9551
(508) 882-3722
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
206013
MA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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