Lyutov, Lisa Ann

Lyutov, Lisa Ann is an individual health care provider with primary practice located at 860 A1A N , Ponte Vedra FL 32082-3212. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Lyutov, Lisa Ann can be contacted via phone (904) 543-0762.

Contact Information

Primary practice address
860 A1A N Ponte Vedra FL 32082-3212
Phone: (904) 543-0762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS51020 Florida

Profile Details

NPI number 1720412166
LBN Legal business name Lyutov, Lisa Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2013
Last updated Jul 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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