Individual provider · Type 1 NPI

Raelynn Lis

Licensed Practical Nurse · Troy, NY

NPI number 1124359492 Active

Practice location

1 Conway Ct
Troy, NY 12180-2108

Fax (518) 274-6511

Mailing address

3 Cramer Woods Rd Apt B
Ballston Spa, NY 12020-6338

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X294588 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124359492

Raelynn Lis's National Provider Identifier is 1124359492, issued on Jan 26, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Troy, NY. The record was last updated on Jun 26, 2012.