Mrs Lisa Marie Macedonia Olofson, LICENSED REGISTERED - Registered Nurse in East Northport, NY

Mrs Lisa Marie Macedonia Olofson, LICENSED REGISTERED is a Registered Nurse based in East Northport, New York. Mrs Lisa Marie Macedonia Olofson is licensed to practice in New York (license number 415592) and her current practice location is 9 Corral Lane, East Northport, New York. She can be reached at her office (for appointments etc.) via phone at (631) 368-0169.

NPI number for Mrs Lisa Marie Macedonia Olofson is 1851572812 and her current mailing address is 9 Corral Lane, East Northport, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851572812.

Contact Information

Mrs Lisa Marie Macedonia Olofson, LICENSED REGISTERED
9 Corral Lane,
East Northport, NY 11731
(631) 368-0169
Not Available

Map and Direction




Provider's Profile

Full NameMrs Lisa Marie Macedonia Olofson
GenderFemale
SpecialityRegistered Nurse
Location9 Corral Lane, East Northport, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851572812
  • Provider Enumeration Date: 11/19/2007
  • Last Update Date: 11/19/2007

Medical Identifiers

Medical identifiers for Mrs Lisa Marie Macedonia Olofson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851572812NPI-NPPES
02638113MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 415592 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Marie Macedonia Olofson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lisa Marie Macedonia Olofson, LICENSED REGISTERED
9 Corral Lane,
East Northport, NY 11731

Ph: (631) 368-0169
Mrs Lisa Marie Macedonia Olofson, LICENSED REGISTERED
9 Corral Lane,
East Northport, NY 11731

Ph: (631) 368-0169

Reviews and Comments


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