Individual provider · Type 1 NPI
Lisa M. Distin, LPN
Licensed Practical Nurse · Tully, NY
NPI number
1437374642
Active
Practice location
4849 Otisco Rd
Tully, NY 13159-3086
Mailing address
733 Middle Rd
Oswego, NY 13126-5888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 238458-1 (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.
Another provider at this address
Other licensed practical nurse providers in Tully
About NPI 1437374642
Lisa M. Distin, LPN's National Provider Identifier is 1437374642, issued on Apr 13, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tully, NY. The record was last updated on Jul 9, 2007.