Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Boucek, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1720498975

Lisa Boucek, MD is a Pediatric Adolescent Medicine Physician in Scottsdale, Arizona. Works from 3 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21807 N Scottsdale Rd
Scottsdale, AZ 85255
Phone: (480) 860-8488
Fax: (480) 860-8498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 546-2923
  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 546-2923

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 54432 (AZ)

Record details

NPI number1720498975
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2014
Last updated in NPPESJuly 18, 2019

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