Individual provider · Type 1 NPI

Lisa Marie Soviak, PA-C

Medical Physician Assistant · Warren, MI

NPI number 1730349655 Active

Practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601005256 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1730349655

Lisa Marie Soviak, PA-C's National Provider Identifier is 1730349655, issued on Jun 13, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Warren, MI. The record was last updated on Oct 9, 2025.