National Provider Identifier Database

LISA A DURETTE MD PLLC
Psychiatric/Mental Health, Child & Family


Contact Information

LISA A DURETTE MD PLLC
526 S TONOPAH DR STE 200
LAS VEGAS, NV89106-4013
Phone: 702-359-9899
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Child & Family 364SP0810X

* Indicates primary specialty

NPI Profile & details for LISA A DURETTE MD PLLC

NPI Number 1558907907
Legal business name
LBN
LISA A DURETTE MD PLLC
Authorized official KENNETH MCKAY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/20/2019
Last updated 11/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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