Lisa Ann Lyutov
NPI #1720412166 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1720412166
- Entity Type
- Individual
- Name
- Lisa Ann Lyutov
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 21, 2013
- Last Updated
- Jul 22, 2020
Practice Location
- Address
- 860 A1A N
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32082-3212
- Phone
- (904) 543-0762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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