Ms Lucille Lyda Hanson, PMHNP-BC - Nurse Practitioner in Potsdam, NY

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Ms Lucille Lyda Hanson, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Potsdam, New York. Ms Lucille Lyda Hanson is licensed to practice in New York (license number 402614) and her current practice location is 201 Market St, Potsdam, New York. She can be reached at her office (for appointments etc.) via phone at (315) 274-7003.

NPI number for Ms Lucille Lyda Hanson is 1114324829 and her current mailing address is 2 N Clarkson Ave, Massena, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114324829.

Contact Information

Ms Lucille Lyda Hanson, PMHNP-BC
201 Market St,
Potsdam, NY 13676-1278
(315) 274-7003
(315) 425-2653

Map and Direction




Provider's Profile

Full NameMs Lucille Lyda Hanson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location201 Market St, Potsdam, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114324829
  • Provider Enumeration Date: 11/24/2014
  • Last Update Date: 10/17/2023

Medical Identifiers

Medical identifiers for Ms Lucille Lyda Hanson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114324829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R186310-7 (Minnesota)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 402614 (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. Ms Lucille Lyda Hanson 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 AddressPractice Location Address
Ms Lucille Lyda Hanson, PMHNP-BC
2 N Clarkson Ave,
Massena, NY 13662-1765

Ph: (218) 296-0384		Ms Lucille Lyda Hanson, PMHNP-BC
201 Market St,
Potsdam, NY 13676-1278

Ph: (315) 274-7003

Reviews and Comments


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