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

Mrs. Lisa Joy Walters, MSED

Individual provider Specialist · NPI 1164773941

Mrs. Lisa Joy Walters, MSED is a Specialist in Lake Grove, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

6 Ashford Dr
Lake Grove, NY 11755-2808
Phone: (631) 588-5176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1164773941
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedSeptember 20, 2012
Last updated in NPPESJuly 21, 2022

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