Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Ann Lyutov

Individual provider Pharmacist · NPI 1720412166

Lisa Ann Lyutov is a Pharmacist in Ponte Vedra, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

860 A1A N
Ponte Vedra, FL 32082-3212
Phone: (904) 543-0762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS51020 (FL)

Record details

NPI number1720412166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2013
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020

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