IndividualActive
Lydia Lissanu
NPI 1851913099 · Pediatric Critical Care Medicine Physician · Washington, DC
Provider details
- NPI number
- 1851913099
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- CS2100013401 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
111 Michigan Ave Nw
Washington, DC 20010-2916
Phone: (202) 476-3670
Approximate (ZIP-level) locationGet directions
Mailing address
111 Michigan Ave Nw
Washington, DC 20010-2916
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.