JENNIFER LIZARAZO LPN
NPI 1659676724
Licensed Practical Nurse in Staten Island, NY

Q: What is Jennifer Lizarazo's NPI number?

The NPI number for Jennifer Lizarazo is 1659676724. It was assigned to this individual provider in the NPPES registry on January 20, 2011.

Q: What is Jennifer Lizarazo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lizarazo was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 20, 2011

26 DUMONT AVE, STATEN ISLAND, NY 10305(718) 667-8510(718) 667-4524 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jennifer Lizarazo Lpn NPPES

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

JENNIFER LIZARAZO LPN (NPI 1659676724) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (301412) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1659676724

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJENNIFER LIZARAZOCredential: LPN

Location Address26 DUMONT AVEStaten Island, NY 10305-1450

Mailing Address26 Dumont AveStaten Island, NY 10305-1450 · (718) 667-8510 · Fax (718) 667-4524

Phone(718) 667-8510

Fax(718) 667-4524

Sole ProprietorNo

Enumeration DateJanuary 20, 2011

✔ NPI 1659676724 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 · 301412

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.

26 DUMONT AVE, Staten Island, NY 10305

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