KRISTIN LYSOGORSKI LPN
NPI 1902208341
Licensed Practical Nurse in Mattituck, NY

Q: What is Kristin Lysogorski's NPI number?

The NPI number for Kristin Lysogorski is 1902208341. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Q: What is Kristin Lysogorski's specialty?

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

Active since September 17, 2014

695 THERESA DR, MATTITUCK, NY 11952(631) 905-9692 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristin Lysogorski Lpn NPPES

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

KRISTIN LYSOGORSKI LPN (NPI 1902208341) is an individual licensed practical nurse in Mattituck, New York, licensed in New York (319755) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1902208341

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKRISTIN LYSOGORSKICredential: LPN

Location Address695 THERESA DRMattituck, NY 11952-2673

Mailing Address695 Theresa DrMattituck, NY 11952-2673 · (631) 905-9692

Phone(631) 905-9692

Sole ProprietorNo

Enumeration DateSeptember 17, 2014

✔ NPI 1902208341 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 · 319755

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.

695 THERESA DR, Mattituck, NY 11952

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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 Kristin Lysogorski's NPI number?

The NPI number for Kristin Lysogorski is 1902208341. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Kristin Lysogorski located?

Kristin Lysogorski practices at 695 Theresa Dr, Mattituck, NY 11952. The listed phone number is (631) 905-9692.

What is Kristin Lysogorski'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 Kristin Lysogorski was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.