MRS. SUSAN LYNN LISKOWICZ PA-C - NPI 1265522015 - Physician Assistant in Wilkes Barre, PA

Q: What is Susan Liskowicz's NPI number?

The NPI number for Susan Liskowicz is 1265522015. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Susan Liskowicz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Susan Liskowicz was last updated on January 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Susan Lynn Liskowicz Pa-c NPPES

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

MRS. SUSAN LYNN LISKOWICZ PA-C (NPI 1265522015) is an individual medical provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA001659L) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1265522015

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. SUSAN LYNN LISKOWICZCredential: PA-C

Location Address1111 E END BLVDWilkes Barre, PA 18711-0030

Mailing Address1111 E End BlvdWilkes Barre, PA 18711-0030 · (570) 824-3521 · Fax (570) 829-5188

Phone(570) 824-3521

Fax(570) 819-5188

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateJanuary 19, 2022

NPPES CertifiedJanuary 19, 2022

✔ NPI 1265522015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA001659L

1111 E END BLVD, Wilkes Barre, PA 18711

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Other Providers at the Same Location NPPES 20

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

MICHELE KOZIEL LSW

Social Worker