Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Laura Michelle Boucher, PA-C

Individual provider Surgical Physician Assistant · NPI 1770085243

Miss. Laura Michelle Boucher, PA-C is a Physician Assistant in Lakewood, Colorado. Qualified in 2017, 9 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Colorado and Oklahoma.

Years since qualifying
9
Licensed in
CO, OK
In the registry since
2018
Specialties on file
2
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

1746 Cole Blvd Ste 100
Lakewood, CO 80401-3208
Phone: (303) 914-8800
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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 PA.0005293 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2883 (OK)

Record details

NPI number1770085243
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 1, 2018
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lakewood