Dr. Lisa Marie Detournay
DPM | Podiatrist | 38+ years Exp
Medicare Enrolled
1611 Nw 12th Ave, Miami
Florida, 33136-1005
305-710-1971 Maps & DirectionsDr. Lisa Marie Detournay is a Miami, Florida based podiatrist with 38 years of experience in Podiatry. She completed her graduation from California School Of Podiatric Medicine in 1987. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Lisa Marie Detournay for Podiatry is PO1933 in Florida.
Dr. Lisa Marie Detournay is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Lisa Marie Detournay speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 38+ years |
| Medical School Attended: | California School Of Podiatric Medicine |
| Graduation Year: | 1987 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1611 Nw 12th Ave, Miami,
Florida, 33136-1005 |
| Phone: | 305-710-1971 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2860662038 |
| Enrollment ID: | I20120430000479 |
| NPI Number: | 1952301426 |
| NPI Enumeration Date: | 27 Jul, 2005 |
| NPI Last Update On: | 12 Aug, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa Marie Detournay are as mentioned below.
| License Number | Specialization | State | Status | |
| PO1933 | Podiatry | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lisa Marie Detournay such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 029750000 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1235 Mariposa Ave Apt 2,
Coral Gables, Florida |
| Zip: | 33146-3252 |
| Phone Number: | 305-710-1971 |
| Fax Number: | -- |
Patients can reach Dr. Lisa Marie Detournay at
1611 Nw 12th Ave, Miami, Florida or can
call to book an appointment on 305-710-1971.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.