1780369074 NPI number — MS. LISA P. MITCHELL LMT, MLD-C

Table of content: MS. LISA P. MITCHELL LMT, MLD-C (NPI 1780369074)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780369074 NPI number — MS. LISA P. MITCHELL LMT, MLD-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MITCHELL
Provider First Name:
LISA
Provider Middle Name:
P.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMT, MLD-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780369074
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
68 WEATHERBY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CENTRAL ISLIP
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11722-4549
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-885-6011
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 OLD COUNTRY ROAD, SUITE 102
Provider Second Line Business Practice Location Address:
C/O LISA MITCHELL, SUITE 408
Provider Business Practice Location Address City Name:
GARDEN CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-885-6011
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  030106-02 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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