Individual
LISA M MOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2927 LAKE AVE, FORT WAYNE, IN 46805-5415
(260) 469-4148
(260) 702-0934
Mailing address
2927 LAKE AVE, FORT WAYNE, IN 46805-5415
(260) 469-4148
(260) 702-0934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71005781A
IN
Other
Enumeration date
09/21/2015
Last updated
07/02/2026
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