IndividualActive
Lisa Iwanyczko, LVN
NPI 1790308799 · Licensed Vocational Nurse · Fair Oaks, CA
Lisa Iwanyczko, LVN is a Licensed Vocational Nurse provider in Fair Oaks, CA (NPI 1790308799).
Provider details
- NPI number
- 1790308799
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 270176 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
8946 Madison Ave
Fair Oaks, CA 95628-4010
Phone: (916) 438-9569
Street-level locationGet directions
Mailing address
9032 Havering Dr
Roseville, CA 95747-9598
Registry dates
- Enumerated
- 2020-05-26
- Last updated
- 2020-05-26
- Certified
- 2020-05-26
Frequently asked questions
- What is Lisa Iwanyczko's NPI number?
- Lisa Iwanyczko's National Provider Identifier (NPI) is 1790308799, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Iwanyczko's specialty?
- Lisa Iwanyczko is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Lisa Iwanyczko located?
- Lisa Iwanyczko's practice location on file with NPPES is 8946 Madison Ave, Fair Oaks, CA 95628-4010.
- What is Lisa Iwanyczko's phone number?
- The practice phone number listed in the NPPES registry for Lisa Iwanyczko is (916) 438-9569.
- Is Lisa Iwanyczko's NPI active?
- Yes — Lisa Iwanyczko's NPI (1790308799) is active in the NPPES registry as of the last update on 2020-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.