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Booth Medical Center PC

Family Medicine Physician in Lagrange, IN · enumerated 2006 · authorized official Lisa Booth, Physician Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659448975

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Registry record

Entity type Organization (Type 2)
Legal business name Booth Medical Center PC
Practice address 2600 N Detroit St, Lagrange, IN, 46761
Fax (260) 463-5242
Enumeration date Nov 30, 2006
Last updated in NPPES Jul 20, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 01041550A (IN) Primary

Authorized official

Name Lisa Booth
Title Physician Owner

Other identifiers

Identifier Type State Issuer
100468460 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Booth Medical Center PC?
NPPES lists Lisa Booth (Physician Owner) as the authorized official for this organization.
What is the NPI number for Booth Medical Center PC?
The NPI for Booth Medical Center PC is 1659448975, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-07-20.