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Lisa Patrice Mcloughlin

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2812 Woodmere Dr, Panama City, FL 32405-4384

PECOS Enrollment

This provider is enrolled in PECOS as LISA MCLOUGHLIN.

Based on the most recent information from CMS, provider Lisa Patrice Mcloughlin is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1164400941
Provider Type
Individual
Full Name
Mcloughlin, Lisa Patrice
Title
Ms.
Credential
ARNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/3/2006
Last Updated
7/7/2010

Contact Information

Practice Location

2812 Woodmere Dr, Panama City, FL 32405-4384

(401) 575-9848

Unlisted Fax

Mailing Location

2812 Woodmere Dr, Panama City, FL 32405-4384

(401) 575-9848

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9270099 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 71002026A Indiana

Lisa Patrice Mcloughlin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Albert-Smith, Cassidi Leanne

Windsor, Tyler Brooks

Young, Catherine Mary

Pruess, Bryan

Wiggins, Haley

Patel, Hetvi D

Carmon, Mary Jansson

Miller, Denise A

Spikes, Rachel Denise

Sims, Kayla Patrice