Mrs Lisa Jennifer Mickelson, RN - Registered Nurse in Dyer, IN

Mrs Lisa Jennifer Mickelson, RN is a Registered Nurse based in Dyer, Indiana. Mrs Lisa Jennifer Mickelson is licensed to practice in Indiana (license number 28153569A) and her current practice location is 600 Joliet St., Kahler Middle School, Dyer, Indiana. She can be reached at her office (for appointments etc.) via phone at (219) 865-3535.

NPI number for Mrs Lisa Jennifer Mickelson is 1457772451 and her current mailing address is 8260 Wicker Ave., Lake Central School Corporation, Saint John, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457772451.

Contact Information

Mrs Lisa Jennifer Mickelson, RN
600 Joliet St., Kahler Middle School,
Dyer, IN 46311
(219) 865-3535
Not Available

Map and Direction




Provider's Profile

Full NameMrs Lisa Jennifer Mickelson
GenderFemale
SpecialityRegistered Nurse
Location600 Joliet St., Dyer, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457772451
  • Provider Enumeration Date: 12/18/2013
  • Last Update Date: 12/18/2013

Medical Identifiers

Medical identifiers for Mrs Lisa Jennifer Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457772451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28153569A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Jennifer Mickelson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lisa Jennifer Mickelson, RN
8260 Wicker Ave., Lake Central School Corporation,
Saint John, IN 46373

Ph: (219) 365-8507
Mrs Lisa Jennifer Mickelson, RN
600 Joliet St., Kahler Middle School,
Dyer, IN 46311

Ph: (219) 865-3535

Reviews and Comments


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