Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA M DISTIN, LPN
Active Sole ProprietorMRS. LISA M DISTIN, LPN is a Licensed Practical Nurse healthcare provider located in TULLY, New York. NPI 1437374642 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · TULLY, NY
Registration Details
- NPI Number
- 1437374642
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2007 (19.156916161941 yrs)
- Last Updated
- Jul 9, 2007
- License
-
238458-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4849 OTISCO RDTULLY, NY, 131593086Browse NY providers · Browse ZIP 13159
- Phone
- 3156968592
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in TULLY, NY
| Name | Credential | NPI |
|---|---|---|
| AMY ELIZABETH GALLETTA | LPN | 1922124296 |
| DARCY SHIRTZ | LPN | 1700220308 |
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.