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

Lisa Brenner

Individual provider Specialist · NPI 1629333984

Lisa Brenner is a Specialist in Smithtown, New York. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

62 St Nicholas Ave
Smithtown, NY 11787
Phone: (631) 361-6051
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1629333984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2012
Last updated in NPPESJuly 11, 2012

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