Individual
LISA MARIE PIWOSZKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845
(260) 672-6443
(260) 672-6459
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125061757
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
02005684A
IN
Other
Enumeration date
07/31/2012
Last updated
01/04/2023
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