MS. Lissette Anne Ippolito, LPN
NPI #1508587015 in Miller Place, New York
Provider Information
- NPI Number
- 1508587015
- Entity Type
- Individual
- Name
- MS. Lissette Anne Ippolito, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Sep 5, 2022
- Last Updated
- Sep 5, 2022
Practice Location
- Address
- 78 SWEETGUM LN
- City
- Miller Place
- State
- New York
- ZIP Code
- 11764-3009
- Phone
- (631) 357-0488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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