Mrs Lisa Flythe Durham, MS, OTR/L is a
Occupational Therapist - Gerontology based in Jackson, North Carolina. Mrs Lisa Flythe Durham is licensed to practice in North Carolina (license number 5879) and her current practice location is
200 Hampton Woods Complex Rd, Jackson, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 578-3751.
NPI number for Mrs Lisa Flythe Durham is 1619224284 and her current mailing address is 200 Hampton Woods Complex Rd, Jackson, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619224284.
Healthcare Provider's Profile
Full Name | Mrs Lisa Flythe Durham |
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Gender | Female |
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Speciality | Occupational Therapist - Gerontology |
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Location | 200 Hampton Woods Complex Rd, Jackson, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619224284
- Provider Enumeration Date: 08/13/2012
- Last Update Date: 08/13/2012
Medical Identifiers
Medical identifiers for Mrs Lisa Flythe Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619224284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XG0600X | Occupational Therapist - Gerontology | 5879 (North Carolina) | 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. Mrs Lisa Flythe 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 |
Mrs Lisa Flythe Durham, MS, OTR/L 200 Hampton Woods Complex Rd, Jackson, NC 27845-9503 Ph: (252) 578-3751 | Mrs Lisa Flythe Durham, MS, OTR/L 200 Hampton Woods Complex Rd, Jackson, NC 27845-9503 Ph: (252) 578-3751 |
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