Susan Lynn Liskowicz, PA-C

Physician Assistant, Medical in Wilkes Barre, PA. Individual provider (NPI-1).

NPI number1265522015

StatusActive

Last updated in NPPESJan 19, 2022

Details

NPI: 1265522015
Entity type: Individual (NPI-1)
Name: Mrs. Susan Lynn Liskowicz
Credential: PA-C
Sex: Female
Sole proprietor: No
Enumeration date: Oct 13, 2006
Certification date: Jan 19, 2022
Last updated: Jan 19, 2022

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363AM0700X	Physician Assistant, Medical	MA001659L	PA	Yes

Practice location

1111 E End Blvd
Wilkes Barre, PA 18711-0030

Phone 570-824-3521 · Fax 570-819-5188

Mailing address

1111 E End Blvd
Wilkes Barre, PA 18711-0030

Phone 570-824-3521 · Fax 570-829-5188

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Medical Physician Assistant providers in Wilkes Barre, PA

All 37 Medical Physician Assistant providers in Wilkes Barre · All 2,978 providers in Wilkes Barre

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