Lisa Boucek
M.D. | Pediatric Adolescent Medicine | Female
Lisa Boucek, M.D. is a Scottsdale, Arizona based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Lisa Boucek is
21807 N Scottsdale Rd, Scottsdale, Arizona - 85255. She can be contacted on phone at
480-860-8488 and fax number 480-860-8498.
Lisa Boucek is a sole proprietor of her business.
NPI number (Unique professional ID) for Lisa Boucek is
1720498975 which was assigned by NPPES on 28 Apr, 2014 and it was last updated on 18 Jul, 2019.
Lisa Boucek license number is
54432 for Pediatrics Adolescent Medicine (2080A0000X) in Arizona.
Lisa Boucek specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Lisa Boucek basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Lisa Boucek |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Lisa Boucek address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 21807 N Scottsdale Rd
Scottsdale, AZ, 85255
United States |
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| Phone Number : | 480-860-8488 |
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| Fax Number : | 480-860-8498 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720498975 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Apr, 2014 |
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| Last Updated On : | 18 Jul, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Boucek are as mentioned. Primary taxonomy code for Lisa Boucek, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 54432 | AZ |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1919 E THOMAS RD, PHOENIX CHILDREN'S HOSPITAL
PHOENIX, AZ, 85016-7710
United States | PHOENIX, AZ | 602-546-2923 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9827 N 95th St Ste 105
Scottsdale, AZ, 85258-4591
United States |
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| Phone Number : | 480-860-8488 |
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Business Location:
Patients can refer following map for directions to
Lisa Boucek practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.