Berndt, Lisa Lee
Berndt, Lisa Lee is an individual health care provider with primary practice located at 3320 Stoney St , Mohegan Lake NY 10547-1911. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Berndt, Lisa Lee can be contacted via phone (914) 962-3822.Contact Information
Primary practice address
3320 Stoney St
Mohegan Lake NY 10547-1911
Phone: (914) 962-3822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 274769 | New York |
Profile Details
| NPI number | 1770782286 |
|---|---|
| LBN Legal business name | Berndt, Lisa Lee |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jul 13th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770782286 | NPPES |
| New York | MEDICAID | 02734678 |
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