Dr Lissette Lazara Pena, PSY D, LMHC is a
Psychologist - Clinical based in Hialeah, Florida. Dr Lissette Lazara Pena is licensed to practice in Florida (license number PY9993) and her current practice location is
4175 W 20th Ave, Hialeah, Florida. She can be reached at her office (for appointments etc.) via phone at
(786) 441-5362.
NPI number for Dr Lissette Lazara Pena is 1669786844 and her current mailing address is 4175 W 20th Ave, Hialeah, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669786844.
Healthcare Provider's Profile
Full Name | Dr Lissette Lazara Pena |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 4175 W 20th Ave, Hialeah, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669786844
- Provider Enumeration Date: 07/30/2010
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Dr Lissette Lazara Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669786844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MH9478 (Florida) | Secondary |
103TC0700X | Psychologist - Clinical | PY9993 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lissette Lazara Pena is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lissette Lazara Pena, PSY D, LMHC 4175 W 20th Ave, Hialeah, FL 33012-5874 Ph: (786) 441-5362 | Dr Lissette Lazara Pena, PSY D, LMHC 4175 W 20th Ave, Hialeah, FL 33012-5874 Ph: (786) 441-5362 |
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