Individual provider · Type 1 NPI
Leah Lisowski
Student in an Organized Health Care Education/Training Program · Jackson, WI
NPI number
1013711191
Active
Practice location
3896 Mayfield Rd
Jackson, WI 53037-9762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant | 363AS0400X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Jackson
About NPI 1013711191
Leah Lisowski's National Provider Identifier is 1013711191, issued on Apr 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, WI. The record was last updated on Apr 1, 2025.