| Lisa Mcduffie Psychiatry Llc | |
|
909 Long Dr Ste A Sheridan WY 82801-3282 | |
| (307) 673-0126 | |
| Not Available |
| Full Name | Lisa Mcduffie Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 909 Long Dr Ste A, Sheridan, Wyoming |
| Authorized Official Name and Position | Lisa Mcduffie (OWNER) |
| Authorized Official Contact | 3076730126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Mcduffie Psychiatry Llc Po Box 2417 Cheyenne WY 82003-2417 Ph: (307) 638-0300 | Lisa Mcduffie Psychiatry Llc 909 Long Dr Ste A Sheridan WY 82801-3282 Ph: (307) 673-0126 |
| NPI Number | 1235887902 |
|---|---|
| Provider Enumeration Date | 03/12/2022 |
| Last Update Date | 03/12/2022 |
| Certification Date | 03/12/2022 |
| Medicare PECOS PAC ID | 3779950449 |
|---|---|
| Medicare Enrollment ID | O20221109002109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235887902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lisa G Mcduffie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811059611 PECOS PAC ID: 9931001195 Enrollment ID: I20130614000310 |
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