Individual
PATRICIA J. LISINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2510 SANDCREST DRIVE, COLUMBUS, IN 47203
(812) 348-1000
(812) 418-0470
Mailing address
2510 SANDCREST BLVD, COLUMBUS, IN 47203-3047
(812) 348-1000
(812) 418-0470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001760A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VV0559A
MEDICARE PTAN
VA
Enumeration date
11/01/2010
Last updated
08/12/2020
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