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

Nicolas William Lisowski

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376385476

Nicolas William Lisowski is a Student in an Organized Health Care Education/Training Program in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

5177 McCarty Ln
Lafayette, IN 47905-8764
Phone: (765) 448-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 11023776A (IN)

Record details

NPI number1376385476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address5177 McCarty Ln, Lafayette, IN 47905-8764

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