Individual provider · Type 1 NPI
Laura E. Tylisz
Driver · Michigan City, IN
NPI number
1801763842
Active
Practice location
7625 W 275 N
Michigan City, IN 46360-9306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 0900360158 (IN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1801763842
Laura E. Tylisz's National Provider Identifier is 1801763842, issued on Oct 23, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Michigan City, IN. The record was last updated on Oct 23, 2025.