MRS. LISA JO VASILUTH MSED
NPI 1285999706
Specialist in Commack, NY

Active since July 10, 2012
31 ROXBURY DR, COMMACK, NY 11725(631) 827-1552(631) 486-4421 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lisa Jo Vasiluth Msed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA JO VASILUTH MSED (NPI 1285999706) is an individual specialist provider in Commack, New York and active in the NPI registry since July 2012.Information from the official NPPES registry record, last updated July 21, 2022.

NPPES Registry Identity

NPI1285999706
Entity TypeIndividualFemale
Provider Legal NameMRS. LISA JO VASILUTHCredential: MSED
Location Address31 ROXBURY DRCommack, NY 11725-1324
Mailing Address31 Roxbury DrCommack, NY 11725-1324 · (631) 827-1552 · Fax (631) 486-4421
Fax(631) 486-4421
Sole ProprietorYes
Enumeration DateJuly 10, 2012
Last NPPES UpdateJuly 21, 2022
NPI 1285999706 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Specialist

Taxonomy 174400000X · Other Service Providers

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that… Show more

31 ROXBURY DR, Commack, NY 11725

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285999706, enumerated as an "individual" on July 10, 2012.

The provider is located at 31 ROXBURY DR COMMACK, NY 11725 and the phone number is (631) 827-1552.

Specialist with taxonomy code 174400000X.