LISA A HICKS
NPI 1154961209
Licensed Practical Nurse in Livonia, MI

Q: What is Lisa Hicks's NPI number?

The NPI number for Lisa Hicks is 1154961209. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Q: What is Lisa Hicks's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Hicks was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 07, 2020

17177 N LAUREL PARK DR STE 417, LIVONIA, MI 48152(888) 414-7056 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa A Hicks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA A HICKS (NPI 1154961209) is an individual licensed practical nurse in Livonia, Michigan, licensed in Michigan (4703120442) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1154961209

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameLISA A HICKS

Location Address17177 N LAUREL PARK DR STE 417Livonia, MI 48152-3952

Mailing Address23576 Clinton StTaylor, MI 48180-4157

Phone(888) 414-7056

Sole ProprietorNo

Enumeration DateJanuary 7, 2020

✔ NPI 1154961209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703120442

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

17177 N LAUREL PARK DR STE 417, Livonia, MI 48152

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Other Identifiers 1

MedicaidO435522029817MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA LYNN FAIRLEY-GREEN COTAL

Occupational Therapy Assistant

17177 N LAUREL PARK DR STE 417
LIVONIA, MI 48152

Wayne County (734) 666-5995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Hicks's NPI number?

The NPI number for Lisa Hicks is 1154961209. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Lisa Hicks located?

Lisa Hicks practices at 17177 N Laurel Park Dr Ste 417, Livonia, MI 48152. The listed phone number is (888) 414-7056.

What is Lisa Hicks's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Lisa Hicks was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.