Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren C Kisan, PA

Individual provider Physician Assistant · NPI 1407633894

Lauren C Kisan, PA is a Physician Assistant in Muncie, Indiana. Qualified in 2023, 3 years ago. Practices with Lifetime Skin Care Centers, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

401 W McGalliard Rd
Muncie, IN 47303-1828
Phone: (765) 288-6200
Fax: (765) 288-4131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IN)

Record details

NPI number1407633894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lifetime Skin Care Centers, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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