LISSETTE MARIE BOURET MD
NPI 1649373580
Family Medicine in Malden, MA

Active since September 06, 2006
219 CENTRE ST, MALDEN, MA 02148(781) 322-7300 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2016, Feb 15, 2016 (2 updates tracked since 2016).

About Lissette Marie Bouret Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISSETTE MARIE BOURET MD (NPI 1649373580) is an individual family medicine provider in Malden, Massachusetts, licensed in Massachusetts (265252) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1649373580
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISSETTE MARIE BOURETCredential: MD
Location Address219 CENTRE STMalden, MA 02148-5524
Mailing Address219 Centre StMalden, MA 02148-5524 · (781) 322-7300
Sole ProprietorYes
Enumeration DateSeptember 6, 2006
Last NPPES UpdateAugust 23, 20162 updates tracked since enumeration
NPI 1649373580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MA · 265252 Licensed in PR · 14725
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

219 CENTRE ST, Malden, MA 02148

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
219 CENTRE ST
MALDEN, MA 02148
Clinic/Center (Urgent Care)
219 CENTRE ST
MALDEN, MA 02148
Emergency Medicine
219 CENTRE ST
MALDEN, MA 02148
Nurse Practitioner (Family)
219 CENTRE ST
MALDEN, MA 02148
Nurse Practitioner (Family)
219 CENTRE ST
MALDEN, MA 02148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lissette Bouret's NPI number?

The NPI number for Lissette Bouret is 1649373580. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Lissette Bouret located?

Lissette Bouret practices at 219 Centre St, Malden, MA 02148. The listed phone number is (781) 322-7300.

What is Lissette Bouret's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lissette Bouret was last updated on August 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.