Organization
LISA A DURETTE MD PLLC
Active
Other names
Healthy Minds
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA WILKINS (CREDENTIALING SPECIALIST)
(725) 246-1483
Entity
Organization
Contact information
Practice address
526 S TONOPAH DR STE 200, LAS VEGAS, NV 89106-4013
(702) 440-8440
Mailing address
840 S RANCHO DR STE 4-337, LAS VEGAS, NV 89106-3837
(702) 440-8440
(866) 518-0781
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
11/21/2022
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