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DR. KRISTINA ANNE LISHAWA M.D. NPI 1063425205


NPI Information

NPI: 1063425205
Provider Name: DR. KRISTINA ANNE LISHAWA, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 922-9270
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DR. Kristina Anne Lishawa, M.D. is a student in an organized health care education training program in Traverse City, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Kristina Anne Lishawa, M.D. NPI is 1063425205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684-345
Phone: (231) 922-9270
Fax: (231) 922-9271

The NPI 1063425205 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 6/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine4301094127MICHIGANNo
2208000000XPediatrics4301094127MICHIGANNo
3390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.