NPI
Lisa Anne Boothby
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- Pharm.D., BCPS
- Type
- Individual
- Enumeration date
- 2007-01-23
- Last updated
- 2010-12-20
Specialties
Licenses
- License GA
- RPH020650
- License FL
- PS34954
- License IN
- 26023438A
Location
- Practice location
- 275 W 12th St
- City
- Peru IN
- Postal code
- 46970-1638
- Phone
- (765) 472-8004
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Peru, IN. 330 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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