Lisa Marie La Due, EARLY INTERVENTION

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

7652 Harrington Lane
Bradenton, FL 34202

Phone

(941) 355-6054

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lisa Marie La Due Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528502400000",
    "number": "1417109554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 HARRINGTON LN",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342024085",
            "telephone_number": "727-424-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 HARRINGTON LANE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-355-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA DUE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "EARLY INTERVENTION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2018-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LA DUE",
            "middle_name": "MARIE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melanie Kurtz, M.S., BCBA
• Brandon Kvistad, RN
• L & W Pediatrics PA
• L L and B Electrocariograms
• L. Carl de Jongh, D.D.S., P.a.
• Steven P. La Mania
• La Paz Salon
• Melissa Sue Labrecque, MASSAGE THERAPIST
• Sarah W Labrecque, PT
• Melinda L Lacerna-Kimbrell, MD

• Developmental Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.