Mrs. Lisa M Distin

LPN | Licensed Practical Nurse

4849 Otisco Rd, Tully
  New York, 13159-3086
315-696-8592
Mrs. Lisa M Distin is a Tully, New York based nurse who is specialized as Licensed Practical Nurse (LPN). Active license number of Mrs. Lisa M Distin is 238458-1 for Licensed Practical Nurse (LPN) in New York. Current practice location of Mrs. Lisa M Distin is 4849 Otisco Rd, Tully. Patients can reach her at 315-696-8592. Mrs. Lisa M Distin is LPN with specialization in Licensed Practical Nurse (LPN) and her NPI number (Unique professional ID assigned by NPPES) is 1437374642.
Mrs. Lisa M Distin is a state-licensed healthcare professional who provides basic nursing care to patients such as monitoring vitals, dressing wounds, and administering medication etc. under the supervision of a Registered Nurse (RN) or physician. LPNs are direct link between a patient, their family and their doctor and other providers. LPNs typically work in clinics, hospitals, nursing homes, rehabilitation centers, and home healthcare etc.

Complete Profile:
Mrs. Lisa M Distin speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Licensed Practical Nurse (LPN)
Credentials: LPN
Gender:Female
Practice Address:4849 Otisco Rd, Tully,
New York, 13159-3086
Phone:315-696-8592
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1437374642
NPI Enumeration Date: 13 Apr, 2007
NPI Last Update On: 09 Jul, 2007

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Lisa M Distin are as mentioned below.
License NumberSpecializationStateStatus
238458-1Licensed Practical Nurse (LPN) New YorkPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Lisa M Distin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
01789642MedicaidNew York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 733 Middle Rd,
Oswego, New York
Zip: 13126-5888
Phone Number: 315-343-2390
Fax Number: 315-343-2390
Patients can reach Mrs. Lisa M Distin at 4849 Otisco Rd, Tully, New York or can call to book an appointment on 315-696-8592.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.