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

Lissette Marie Bouret, MD

Individual provider Family Medicine Physician · NPI 1649373580

Lissette Marie Bouret, MD is a Family Medicine Physician in Malden, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts and Puerto Rico.

Licensed in
MA, PR
In the registry since
2006
Specialties on file
2
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

219 Centre St
Malden, MA 02148-5524
Phone: (781) 322-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 265252 (MA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 14725 (PR)

Record details

NPI number1649373580
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 6, 2006
Last updated in NPPESAugust 23, 2016

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