Individual provider · Type 1 NPI
Colleen Margaret Lizewski, PA-C
Medical Physician Assistant · Nags Head, NC
NPI number
1760804512
Active
Practice location
2210 S Croatan Hwy # 1037
Nags Head, NC 27959-8812
Fax (833) 605-4147
Mailing address
40 W Frack St
Frackville, PA 17931-1719
Other practice locations
- 40 W Frack St, Frackville, PA 17931-1719 · (570) 794-6123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | OA004346 (PA) |
| Medical Physician Assistant | 363AM0700X | 0010-14034 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | MA055811 (PA) |
Medical Physician Assistant: Definition to come...
About NPI 1760804512
Colleen Margaret Lizewski, PA-C's National Provider Identifier is 1760804512, issued on Jan 14, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Nags Head, NC. The record was last updated on Oct 29, 2026.