Individual provider · Type 1 NPI

Lisa Kathryn Waynick, PA

Physician Assistant · Detroit, MI

NPI number 1124467816 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

529 Helene Ave
Royal Oak, MI 48067-3980

Other practice locations

  • 3601 W 13 Mile Rd, William Beaumont Hospital, Royal Oak, MI 48073-6712 · (248) 898-5000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601006673 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124467816

Lisa Kathryn Waynick, PA's National Provider Identifier is 1124467816, issued on Jun 17, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 22, 2021.