Individual
MRS. SUSAN LYNN LISKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 819-5188
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 829-5188
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001659L
PA
Other
Enumeration date
10/13/2006
Last updated
01/19/2022
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