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NPI Code Detail

MEDICARE: LISA M BOSTER LMFT

MEDICARE:   LISA M BOSTER  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistL317AL

General Provider Information

NPI Number : 1295973469
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA M BOSTER LMFT
Provider Business Mailing Address
First Line : 2865 POTTER DR
Second Line :
City : MOBILE
State : AL
Zip : 36606-2359
Country : US
Telephone Number : 251-510-0803
Fax Number :
Provider Business Practice Location Address
First Line : 4087 COTTAGE HILL RD
Second Line :
City : MOBILE
State : AL
Zip : 36609
Country : US
Telephone Number : 251-265-4181
Fax Number : 844-380-0826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2009
Last Update Date : 03/23/2026

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Directions to “ LISA M BOSTER LMFT” Practice Location

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