Lisa Ann Miccio, LPN is a
Licensed Vocational Nurse based in Duanesburg, New York. Lisa Ann Miccio is licensed to practice in New York (license number 165690-1) and her current practice location is
764 Birchwood Dr, Duanesburg, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 362-6292.
NPI number for Lisa Ann Miccio is 1699261511 and her current mailing address is 764 Birchwood Dr, Duanesburg, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699261511.
Provider's Profile
| Full Name | Lisa Ann Miccio |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 764 Birchwood Dr, Duanesburg, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699261511
- Provider Enumeration Date: 07/03/2018
- Last Update Date: 07/03/2018
Medical Identifiers
Medical identifiers for Lisa Ann Miccio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699261511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 165690-1 (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. Lisa Ann Miccio 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 |
|---|
Lisa Ann Miccio, LPN
764 Birchwood Dr,
Duanesburg, NY 12056-4207
Ph: (518) 362-6292 | Lisa Ann Miccio, LPN
764 Birchwood Dr,
Duanesburg, NY 12056-4207
Ph: (518) 362-6292 |
Reviews and Comments