Bouret, Lissette Marie

Bouret, Lissette Marie is an sole proprietor health care provider with primary practice located at 219 Centre St , Malden MA 02148-5524. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bouret, Lissette Marie can be contacted via phone (781) 322-7300.

Contact Information

Primary practice address
219 Centre St Malden MA 02148-5524
Phone: (781) 322-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14725 Puerto Rico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 265252 Massachusetts

Profile Details

NPI number 1649373580
LBN Legal business name Bouret, Lissette Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Aug 23rd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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