MS. Lisa Jean Boucher, PA-C
MS. Lisa Jean Boucher, PA-C is a Physician Assistant in Auburn, Maine. Qualified in 1996, 30 years ago. Practices with St Marys Regional Medical Center, a 194-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, Maine and New York.
- Years since qualifying
- 30
- Licensed in
- CT, ME, NY
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2 Great Falls Plz Ste 21Auburn, ME 04210-5966
Phone: (207) 330-3950
Fax: (207) 330-3955
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2000 E Gun Hill Rd, Bronx, NY 10469-6016 — (718) 405-3534
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 001342 (CT) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 5606 (NY) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA646 (ME) |
Record details
| NPI number | 1730285982 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | September 15, 2006 |
| Last updated in NPPES | November 8, 2022 |
| Certification date | November 8, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | St Marys Regional Medical Center — 194 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Auburn
-
Natalie Marie Antaya, PA-C
791 Turner St Unit 2, Auburn, ME 04210-6314 · (207) 330-3900
-
Michelle Boutin, PA
15 Gracelawn Rd Ste 101, Auburn, ME 04210-6347 · (207) 333-4710
-
Taylor C Butterfield, PA-C
190 Stetson Rd, Auburn, ME 04210-7813 · (207) 784-7388
-
Anna Chavez, PA-C
791 Turner St Unit 2, Auburn, ME 04210-6314 · (207) 330-3900
-
Alicia Marie Ciciarelli, PA-C
590 Center St, Auburn, ME 04210-6305 · (207) 955-5565