MS. Lisa Ann Tanaka
NPI #1255824645 in Mastic Beach, New York
Provider Information
- NPI Number
- 1255824645
- Entity Type
- Individual
- Name
- MS. Lisa Ann Tanaka
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jun 11, 2018
- Last Updated
- Jun 11, 2018
Practice Location
- Address
- 11 RIVERSIDE AVE
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-1105
- Phone
- (631) 903-7609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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