IndividualActive
Lisa Lyutov
NPI 1720412166 · Pharmacist · Ponte Vedra, FL
Lisa Lyutov is a Pharmacist provider in Ponte Vedra, FL (NPI 1720412166).
Provider details
- NPI number
- 1720412166
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PS51020 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
860 A1a N
Ponte Vedra, FL 32082-3212
Phone: (904) 543-0762
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 551736
Jacksonville, FL 32255-1736
Registry dates
- Enumerated
- 2013-08-21
- Last updated
- 2020-07-22
- Certified
- 2020-07-22
Frequently asked questions
- What is Lisa Lyutov's NPI number?
- Lisa Lyutov's National Provider Identifier (NPI) is 1720412166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Lyutov's specialty?
- Lisa Lyutov is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Lisa Lyutov located?
- Lisa Lyutov's practice location on file with NPPES is 860 A1a N, Ponte Vedra, FL 32082-3212.
- What is Lisa Lyutov's phone number?
- The practice phone number listed in the NPPES registry for Lisa Lyutov is (904) 543-0762.
- Is Lisa Lyutov's NPI active?
- Yes — Lisa Lyutov's NPI (1720412166) is active in the NPPES registry as of the last update on 2020-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.