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

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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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.