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

MS. Lisa Ann Tanaka

Individual provider Registered Nurse · NPI 1255824645

MS. Lisa Ann Tanaka is a Registered Nurse in Mastic Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

11 Riverside Ave
Mastic Beach, NY 11951-1105
Phone: (631) 903-7609
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 687936 (NY)

Record details

NPI number1255824645
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2018
Last updated in NPPESJune 11, 2018

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