Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leslie Jean Boucherle, PA-C

Individual provider Physician Assistant · NPI 1043793789

Leslie Jean Boucherle, PA-C is a Physician Assistant in Clemmons, North Carolina. Qualified in 2018, 8 years ago. Practices with Lamond Family Medicine PLLC, a 46-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4740 Commercial Park Ct
Clemmons, NC 27012-9387
Phone: (336) 245-9521
Fax: (855) 308-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08357 (NC)

Record details

NPI number1043793789
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lamond Family Medicine Pllc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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