Lanisha Denine Durant | East Patchogue, NY • PECOS Search

Lanisha Denine Durant

Licensed Practical Nurse

Nursing Service Providers

950 Taylor Ave, East Patchogue, NY 11772-5060

PECOS Enrollment

Based on the most recent information from CMS, provider Lanisha Denine Durant does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1982963047
Provider Type
Individual
Full Name
Durant, Lanisha Denine
Title
Ms.
Credential
LPN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/10/2012
Last Updated
5/10/2012

Contact Information

Practice Location

950 Taylor Ave, East Patchogue, NY 11772-5060

Unlisted Fax

Mailing Location

950 Taylor Ave, East Patchogue, NY 11772-5060

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 289619 New York