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LISA DESOUSA LPN
NPI 1336921279
Licensed Practical Nurse in Shirley, NY

Active since October 16, 2023
451 REVILO AVE, SHIRLEY, NY 11967(631) 742-2053 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Desousa Lpn NPPES

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

LISA DESOUSA LPN (NPI 1336921279) is an individual licensed practical nurse in Shirley, New York, licensed in New York (341877-01) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1336921279
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLISA DESOUSACredential: LPN
Location Address451 REVILO AVEShirley, NY 11967-1543
Mailing Address451 Revilo AveShirley, NY 11967-1543
Phone(631) 742-2053
Sole ProprietorNo
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
✔ NPI 1336921279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 341877-01
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
451 REVILO AVE, Shirley, NY 11967
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Desousa's NPI number?

The NPI number for Lisa Desousa is 1336921279. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Lisa Desousa located?

Lisa Desousa practices at 451 Revilo Ave, Shirley, NY 11967. The listed phone number is (631) 742-2053.

What is Lisa Desousa's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Desousa was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.