Dr LISA N BOOTH is a female medical professional, specializing in Family Medicine. She graduated in 1992 from Indiana University School Of Medicine.
PARKVIEW HEALTH SYSTEM INC
207 N TOWNLINE RD
104 PFC BOOTH MEDICAL CENTER
LAGRANGE
IN
467611325
Tel: 2604639360
| Npi | 1063447753 |
| Pac Id | 0547392912 |
| Professional Enrollment Id | I20100720001010 |
| Last Name | BOOTH |
| First Name | LISA |
| Middle Name | N |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | OBSTETRICS/GYNECOLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Organization Legal Name | PARKVIEW HEALTH SYSTEM INC |
| Group Practice Pac Id | 2163336967 |
| Number Of Group Practice Members | 834 |
| Line 1 Street Address | 207 N TOWNLINE RD |
| Line 2 Street Address | 104 PFC BOOTH MEDICAL CENTER |
| Marker Of Address Line 2 Suppression | |
| City | LAGRANGE |
| State | IN |
| Zip Code | 467611325 |
| Phone Number | 2604639360 |
| Hospital Affiliation Ccn 1 | 151323 |
| Hospital Affiliation Lbn 1 | PARKVIEW LAGRANGE HOSPITAL |
| Hospital Affiliation Ccn 2 | 150021 |
| Hospital Affiliation Lbn 2 | PARKVIEW REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 150146 |
| Hospital Affiliation Lbn 3 | PARKVIEW NOBLE HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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