Lisanne Fleming, is a
Speech-language Pathologist based in Detroit, Texas. Lisanne Fleming is licensed to practice in * (Not Available) (license number ) and her current practice location is
110 E Garner St, Detroit, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 674-2244.
NPI number for Lisanne Fleming is 1508682733 and her current mailing address is 300 Private Road 33082, Sumner, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508682733.
Healthcare Provider's Profile
| Full Name | Lisanne Fleming |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 110 E Garner St, Detroit, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508682733
- Provider Enumeration Date: 12/03/2024
- Last Update Date: 12/03/2024
Medical Identifiers
Medical identifiers for Lisanne Fleming such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508682733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Lisanne Fleming 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 |
|---|
Lisanne Fleming,
300 Private Road 33082,
Sumner, TX 75486-5516
Ph: () - | Lisanne Fleming,
110 E Garner St,
Detroit, TX 75436-1944
Ph: (903) 674-2244 |
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