# LISA A DURETTE MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthy Minds
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164873246
- **Authorized official:** WANDA WILKINS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (725) 246-1483

## Contact information

- **Practice address:** 526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
- **Practice address phone:** (702) 440-8440
- **Mailing address:** 840 S RANCHO DR STE 4-337, LAS VEGAS, NV 89106-3837
- **Mailing address phone:** (702) 440-8440
- **Mailing address fax:** (866) 518-0781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2016
- **Last updated:** 11/21/2022