COLLEEN MARGARET LIZEWSKI PA-C NPI 1760804512

NPI Information

  • NPI: 1760804512
  • Provider Name: COLLEEN MARGARET LIZEWSKI, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 40 W FRACK ST
    FRACKVILLE, PA
    ZIP 17931
  • Phone: (570) 794-6123

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NPI Details

Colleen Margaret Lizewski, PA-C is a medical physician assistant in Frackville, PA with 13 years of experience. Colleen Margaret Lizewski, PA-C NPI is 1760804512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 W FRACK ST
FRACKVILLE, PA
ZIP 17931-719
Phone: (570) 794-6123
Fax: (570) 794-6124

The NPI 1760804512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/14/2014 and was last updated on 10/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantOA004346PENNSYLVANIANo
2363AM0700XPhysician AssistantMedical0010-14034NORTH CAROLINANo
3363AM0700XPhysician AssistantMedicalMA055811PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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