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Pamela J Lysitt, LPN

Individual provider Active NPI Licensed Practical Nurse · Bellows Falls, VT

NPI 1992090641 · NPPES record last updated Nov 10, 2022

Key facts

NPI
1992090641
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
025.0069694 (VT)
Practice address
94 Westminster Terrace
Bellows Falls, VT 05101-1487
Phone
(802) 732-8343
Fax
(802) 732-8239
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
025.0069694VTMDLicensed Practical Nurse
0250069694VTMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care & Rehabilitation Services of SE VT Inc. Current
since Sep 1, 2022		 Accepting new patients

Locations

94 Westminster Ter
Bellows Falls, VT 05101
Phone (802) 732-8343

390 River St
Springfield, VT 05156
Phone (802) 886-4567

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0250069694 VT
Licensed Practical Nurse 164W00000X 025.0069694 VT Yes

Addresses

Primary practice location

94 Westminster Terrace
Bellows Falls, VT 05101-1487

Mailing address

390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500

Other providers in Bellows Falls, VT

All providers in Bellows Falls, VT · Licensed Practical Nurse in Vermont

Sources for this page

Verify at the official NPI Registry.