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

Lydia Lissanu

Individual provider Pediatric Critical Care Medicine Physician · NPI 1851913099

Lydia Lissanu is a Pediatric Medicine in Washington, District of Columbia. Graduated from University of Louisville School of Medicine in 2022, 4 years ago. Licensed in District of Columbia.

Years since qualifying
4
Trained at
University of Louisville School of Medicine
Licensed in
DC
In the registry since
2020
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Practice location Address checks out

111 Michigan Ave NW
Washington, DC 20010-2916
Phone: (202) 476-3670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence CS2100013401 (DC)

Record details

NPI number1851913099
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2020
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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