LISA ANN LYUTOV (NPI# 1720412166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720412166 |
| Entity Type | Individual |
| Full Name | LISA ANN LYUTOV |
| Practice Address |
860 A1a N Ponte Vedra FL 32082-3212 |
| Mailing Address |
Po Box 551736 Jacksonville FL 32255-1736 |
| Practice Telephone | 9045430762 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS51020 | FL | Pharmacy Service Providers |
| Street Address |
860 A1A N |
| City | PONTE VEDRA |
| State | FL |
| Zip Code | 32082-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588101323 | Baptist Health Clinic Inc | Family Medicine | 860 A1a N, Ponte Vedra, FL 32082-3212 | 2017-01-31 |
| 1932548104 | Richard Jay Griffin | Pharmacist | 860 A1a N, Ponte Vedra, FL 32082 | 2013-06-20 |
| 1306280979 | Jessica A Frost | Pharmacist | 860 A1a N, Ponte Vedra, FL 32082-3212 | 2013-04-24 |
| 1801178439 | Christina Marie Vogel | Pharmacist | 860 A1a N, Ponte Vedra, FL 32082-3212 | 2011-09-09 |
| 1588945562 | Jonathan Isaiah Perez-guerra | Pharmacist | 860 A1a N, Ponte Vedra, FL 32082-3212 | 2011-09-02 |
| 1063793149 | Charles Michael Dellinger | Pharmacist | 860 A1a N, Ponte Vedra, FL 32082-3212 | 2011-09-02 |
| 1235410713 | Alice Whitson Regan | Pharmacist | 860 A1a N, Ponte Vedra, FL 32082-3212 | 2011-08-29 |
| 1386924975 | Kristen Labarbera | Pharmacist | 860 A1a N, Ponte Vedra, FL 32082-3212 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801171855 | Christopher Nguyen | Pharmacist | 403 Cross Ridge Dr, Ponte Vedra, FL 32081-8467 | 2011-10-20 |
| 1083936462 | Anna Nguyen Moyer | Pharmacist | 145 Hilden Rd Ste 102, Ponte Vedra, FL 32081-8401 | 2010-02-25 |
| 1740502988 | Papatya C Fix | Pharmacist | 812 Sawyer Run Ln, Ponte Vedra, FL 32082-4334 | 2010-02-15 |
| 1154651651 | John Stephan Wasilak | Pharmacist | 42 Winding Path Dr, Ponte Vedra, FL 32081-0517 | 2010-01-05 |
| 1750458857 | Talmadge Ray Lowe Sr. | Pharmacist | 34 Stately Shoals Trl, Ponte Vedra, FL 32081-5053 | 2006-11-30 |
| 1295104248 | John Samaan | Pharmacist | 120 Marketside Ave, Ponte Vedra, FL 32081-0574 | 2015-09-21 |
| 1952798415 | Michael Filipkowski | Pharmacist | 220 Front St, Ponte Vedra, FL 32082-5022 | 2015-04-22 |
| 1083004337 | Tiffany Lynne Matheny | Pharmacist | 120 Marketside Ave, Ponte Vedra, FL 32081-0574 | 2015-01-26 |
| 1932548104 | Richard Jay Griffin | Pharmacist | 860 A1a N, Ponte Vedra, FL 32082 | 2013-06-20 |
| 1306280979 | Jessica A Frost | Pharmacist | 860 A1a N, Ponte Vedra, FL 32082-3212 | 2013-04-24 |
| Find all providers in PONTE VEDRA | ||||
| City | PONTE VEDRA |
| Zip Code | 32082 |
Please comment or provide details below to improve the information on LISA ANN LYUTOV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.