Individual provider · Type 1 NPI

Larisa Anatolyevna Lysak

Family Nurse Practitioner · North Highlands, CA

NPI number 1700967908 Active

Practice location

4815 Watt Ave
North Highlands, CA 95660-5108

Call (855) 354-2242 Map

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098

Other practice locations

  • 8100 Timberlake Way Ste A, Sacramento, CA 95823-5409 · (916) 681-2539

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X16740 (CA)

Family Nurse Practitioner: Definition to come...

37 other providers at this address

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About NPI 1700967908

Larisa Anatolyevna Lysak's National Provider Identifier is 1700967908, issued on Oct 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Highlands, CA. The record was last updated on Sep 16, 2020.