Provider Demographics
NPI:1255404349
Name:LIJEWSKI, NANCY MARGUERITE (RNFA)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:MARGUERITE
Last Name:LIJEWSKI
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10922 WILSON ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW BUFFALO
Mailing Address - State:MI
Mailing Address - Zip Code:49117
Mailing Address - Country:US
Mailing Address - Phone:269-469-3505
Mailing Address - Fax:
Practice Address - Street 1:8053 CLEVELAND PLACE
Practice Address - Street 2:RETSON PLASTIC SURGERY
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5303
Practice Address - Country:US
Practice Address - Phone:219-769-4456
Practice Address - Fax:219-769-1468
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28086101A163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant