Berndt, Lisa Lee

Berndt, Lisa Lee is an individual health care provider with primary practice located at 3320 Stoney St , Mohegan Lake NY 10547-1911. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Berndt, Lisa Lee can be contacted via phone (914) 962-3822.

Contact Information

Primary practice address
3320 Stoney St Mohegan Lake NY 10547-1911
Phone: (914) 962-3822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 274769 New York

Profile Details

NPI number 1770782286
LBN Legal business name Berndt, Lisa Lee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Jul 13th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770782286 NPPES
New York MEDICAID 02734678

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