| Dr Lisa Marie Detournay, DPM | |
|
1611 Nw 12th Ave, Miami, FL 33136-1005 | |
| (305) 710-1971 | |
| Not Available |
| Full Name | Dr Lisa Marie Detournay |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 37 Years |
| Location | 1611 Nw 12th Ave, Miami, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952301426 | NPI | - | NPPES |
| 029750000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | PO1933 (Florida) | Primary |
| Provider Name | Lidet Real Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518361385 PECOS PAC ID: 7012230618 Enrollment ID: O20160113001939 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Marie Detournay, DPM 1235 Mariposa Ave Apt 2, Coral Gables, FL 33146-3252 Ph: (305) 710-1971 | Dr Lisa Marie Detournay, DPM 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 710-1971 |
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Dr. Elroy Albert Kalme Lopez, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1227 Sw 3rd Ave Apt 504, Miami, FL 33130 Phone: 786-531-6800 | |
Mr. Michael R Cook, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8955 Sw 87th Court, Ste 108, Miami, FL 33176 Phone: 305-412-1218 Fax: 305-412-4151 | |
Dr. Peter H Hanna, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8950 Sw 74th Ct Ste 1408, Miami, FL 33156 Phone: 833-735-3668 Fax: 866-897-7014 |