Kristin Lysogorski, LPN is a
Licensed Practical Nurse based in Mattituck, New York. Kristin Lysogorski is licensed to practice in New York (license number 319755) and her current practice location is
695 Theresa Dr, Mattituck, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 905-9692.
NPI number for Kristin Lysogorski is 1902208341 and her current mailing address is 695 Theresa Dr, Mattituck, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902208341.
Provider's Profile
| Full Name | Kristin Lysogorski |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 695 Theresa Dr, Mattituck, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902208341
- Provider Enumeration Date: 09/17/2014
- Last Update Date: 09/17/2014
Medical Identifiers
Medical identifiers for Kristin Lysogorski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902208341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 319755 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Lysogorski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristin Lysogorski, LPN
695 Theresa Dr,
Mattituck, NY 11952-2673
Ph: (631) 905-9692 | Kristin Lysogorski, LPN
695 Theresa Dr,
Mattituck, NY 11952-2673
Ph: (631) 905-9692 |
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