Individual provider · Type 1 NPI

Lisa Ann Lyutov

Pharmacist · Ponte Vedra, FL

NPI number 1720412166 Active

Practice location

860 A1A N
Ponte Vedra, FL 32082-3212

Call (904) 543-0762 Map

Mailing address

PO Box 551736
Jacksonville, FL 32255-1736

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS51020 (FL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1720412166

Lisa Ann Lyutov's National Provider Identifier is 1720412166, issued on Aug 21, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Jul 22, 2020.