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

Lisa Michelle Holtsclaw, DO

Individual provider Family Medicine Physician · NPI 1619957164

Lisa Michelle Holtsclaw, DO is a Family Practice in Fort Wayne, Indiana. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1993, 33 years ago. Practices with Osh-In Physicians Group PC, a 65-clinician group. Licensed in Indiana.

Years since qualifying
33
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
IN
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

436 E Washington Blvd
Fort Wayne, IN 46802-3210
Phone: (260) 209-7111
Fax: (260) 222-2835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02001568A (IN)

Record details

NPI number1619957164
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 19, 2006
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020
Mailing address30 W Monroe St Ste 1200, Chicago, IL 60603-2420

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1993 (33 years in practice)
Group practice Osh-In Physicians Group Pc — 65 clinicians
Accepts Medicare assignment Not indicated

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