Individual provider · Type 1 NPI

Lisa A. Hicks

Licensed Practical Nurse · Livonia, MI

NPI number 1154961209 Active

Practice location

17177 N Laurel Park Dr Ste 417
Livonia, MI 48152-3952

Call (888) 414-7056 Map

Mailing address

23576 Clinton St
Taylor, MI 48180-4157

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703120442 (MI)

Licensed Practical Nurse: An individual 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.

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About NPI 1154961209

Lisa A. Hicks's National Provider Identifier is 1154961209, issued on Jan 7, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Livonia, MI. The record was last updated on Jan 7, 2020.