National Provider Identifier

Lisa Marie Titus, LPN

Lisa Marie Titus, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Marion, NY and a listed phone number of (315) 331-5103.

NPI 1447475926Marion, NYLicensed Practical Nurse

Profile Overview

NPI
1447475926
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 17, 2007
Last Updated
July 08, 2007

Practice Location

  • 4010 Cauwels RD
  • Marion, NY 14505-9430

Phone: (315) 331-5103

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1447475926
Entity Type
Individual
Last Name
Titus
First Name
Lisa
Middle Name
Marie
Name Prefix
Mrs.
Credential
LPN
Provider Other Last Name
Hinkel
Provider Other First Name
Lisa
Provider Other Middle Name
Marie
Provider Other Last Name Type Code
5
Mailing Street Address
4010 Cauwels RD
Mailing City
Marion
Mailing State
NY
Mailing ZIP Code
14505-9430
Mailing Country
US
Mailing Phone
(315) 331-5103
Practice Street Address
4010 Cauwels RD
Practice City
Marion
Practice State
NY
Practice ZIP Code
14505-9430
Practice Country
US
Practice Phone
(315) 331-5103
Enumeration Date
April 17, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02572127 (NY)