Individual provider Active NPI

Lisette Mary Lecorgne, N.P.

  • School Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1588729446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
RN038858 Issued in AZ
Practice address
1224 E Lowell St
BLDG. 95 Campus Health
Tucson, AZ 85721-0095
Phone
(520) 621-8315
Fax
(520) 626-2760
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X RN038858 AZ Primary

Addresses

Primary practice location

1224 E Lowell St
BLDG. 95 Campus Health
Tucson, AZ 85721-0095

Mailing address

5133 E Adams St
Tucson, AZ 85712-4105
Phone (520) 621-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN038858AZMDSchool Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588729446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 E ADAMS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124105",
            "telephone_number": "520-621-8315",
            "fax_number": "520-626-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E LOWELL ST",
            "address_2": "BLDG. 95 CAMPUS HEALTH",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210095",
            "telephone_number": "520-621-8315",
            "fax_number": "520-626-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECORGNE",
        "first_name": "LISETTE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "AZ",
            "license": "RN038858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.