MRS. Lisa M Distin, LPN

NPI #1437374642 in Tully, New York

Provider Information

NPI Number
1437374642
Entity Type
Individual
Name
MRS. Lisa M Distin, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 13, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
4849 OTISCO RD
City
Tully
ZIP Code
13159-3086
Phone
(315) 696-8592

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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