Durette, Lisa Ann
Durette, Lisa Ann is an sole proprietor health care provider with primary practice located at 6375 W Charleston Blvd Ste A-100 , Las Vegas NV 89146-1139. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Durette, Lisa Ann can be contacted via phone (702) 253-0818.Contact Information
Primary practice address
6375 W Charleston Blvd Ste A-100
Las Vegas NV 89146-1139
Phone: (702) 253-0818
Fax: (702) 253-9625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 10869 | Nevada |
Profile Details
| NPI number | 1447359955 |
|---|---|
| LBN Legal business name | Durette, Lisa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jun 2nd, 2020 - about 5 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 | 1447359955 | NPPES |
| Nevada | MEDICAID | 100504475 |
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