Lisette B Durham, LPN is a
Licensed Practical Nurse based in Cedarhurst, New York. Lisette B Durham is licensed to practice in New York (license number 334800) and her current practice location is
380 Rockaway Tpke, Cedarhurst, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 208-4460.
NPI number for Lisette B Durham is 1528937984 and her current mailing address is 11573 227th St, Cambria Heights, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528937984.
Provider's Profile
| Full Name | Lisette B Durham |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 380 Rockaway Tpke, Cedarhurst, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528937984
- Provider Enumeration Date: 11/03/2025
- Last Update Date: 11/03/2025
Medical Identifiers
Medical identifiers for Lisette B Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528937984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 334800 (New York) | 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. Lisette B Durham 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 |
Lisette B Durham, LPN 11573 227th St, Cambria Heights, NY 11411-1428 Ph: (631) 336-1535 | Lisette B Durham, LPN 380 Rockaway Tpke, Cedarhurst, NY 11516-1122 Ph: (631) 208-4460 |
Reviews and Comments