Individual provider · Type 1 NPI

Lisa Marie Susko, RN

Registered Nurse · Fayetteville, NY

NPI number 1750267282 Active

Practice location

7614 Hunt Ln
Fayetteville, NY 13066-2515

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X385750 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1750267282

Lisa Marie Susko, RN's National Provider Identifier is 1750267282, issued on Aug 12, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fayetteville, NY. The record was last updated on Aug 12, 2025.