Individual
PAUL L LISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, MS
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9321
Mailing address
428 GROVE AVE, JOHNSTOWN, PA 15902-2520
(814) 535-3548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN324176L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
48642
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LI917347
BLUE CROSS
PA
Enumeration date
08/24/2006
Last updated
09/11/2025
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