Individual
LORI LYNN BOUCARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 MULHOLLAND ST, BAY CITY, MI 48708-7693
(989) 895-2324
Mailing address
457 E CABIN LAKE RD, WEST BRANCH, MI 48661-9787
(989) 362-8636
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704197727
MI
Other
Enumeration date
02/26/2007
Last updated
06/20/2024
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