Provider Demographics
NPI:1275742322
Name:VOLTAGGIO, LYSANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:LYSANDRA
Middle Name:
Last Name:VOLTAGGIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 STEPHEN SITTER AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1290
Mailing Address - Country:US
Mailing Address - Phone:301-295-4625
Mailing Address - Fax:
Practice Address - Street 1:606 STEPHEN SITTER AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1290
Practice Address - Country:US
Practice Address - Phone:301-295-4625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD76062207ZC0500X
PAMD430788207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology