Provider Demographics
NPI:1306088901
Name:BOYER, LISA VU (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:VU
Last Name:BOYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3300 OAK LAWN AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4236
Mailing Address - Country:US
Mailing Address - Phone:214-252-3500
Mailing Address - Fax:214-252-0527
Practice Address - Street 1:3300 OAK LAWN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4236
Practice Address - Country:US
Practice Address - Phone:214-252-3500
Practice Address - Fax:214-252-0527
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99293207L00000X
TXN1489207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology