Family Medicine
BOOTH MEDICAL CENTER PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1659448975 · enumerated 2006-11-30 · record updated 2010-07-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LISA BOOTH MD, Physician Owner · (260) 463-4896
Addresses and phones
- Mailing address 2600 N DETROIT ST, LAGRANGE, IN, 46761-1154 (260) 463-4896 Fax (260) 463-5242 Google Maps Apple Maps OpenStreetMap
- Practice location 2600 N DETROIT ST, LAGRANGE, IN, 46761-1154 (260) 463-4896 Fax (260) 463-5242 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 01041550A IN
In this directory
Locations and evidence
-
Practice location
LAGRANGE, IN, 467611154
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.