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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LISA ANN TANAKA

Active Sole Proprietor

MS. LISA ANN TANAKA is a Registered Nurse healthcare provider located in MASTIC BEACH, New York. NPI 1255824645 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · MASTIC BEACH, NY

Registration Details

NPI Number
1255824645
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2018 (8.1911770391663 yrs)
Last Updated
Jun 11, 2018
License
687936 (NY)
Sole Proprietor
Yes

Practice Information

Address
11 RIVERSIDE AVE
MASTIC BEACH, NY, 119511105
Browse NY providers · Browse ZIP 11951
Phone
6319037609
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in MASTIC BEACH, NY

Name Credential NPI
ANTON L WILLIAMS LPN 1023209863
MRS. ROSINA DEE LASKOWSKI R.N. 1699000141
MR. JAMES A DENNING RN 1528388147
MS. DONNA LAGRANGE REGISTERED NURSE 1366762544
EVE SABLE 1174825608
DARRIEL DANIELS 1245516418
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.