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Contact Information

NICHOLE L LYSICK, DO
15 S 8TH ST STE 200
INDIANA, PA15701
 Phone: 724-463-0476
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NICHOLE L LYSICK · (Female)

NPI # 1417343930
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/10/2015
Last updated 05/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS019207
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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