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Contact Information

LUCINDA T BOUDREAU, PA-C
1701 N 13TH ST STE 100
SHELTON, WA98584-2077
 Phone: 360-426-2653
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LUCINDA T BOUDREAU · (Female)

NPI # 1598074627
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/07/2010
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA60266597
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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