Healthcare Provider Details

I. General information

NPI: 1427246446
Provider Name (Legal Business Name): SARAH R LISKEY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 PETERS RD
LITITZ PA
17543-7685
US

IV. Provider business mailing address

51 PETERS RD
LITITZ PA
17543-7685
US

V. Phone/Fax

Practice location:
  • Phone: 717-627-7696
  • Fax: 717-626-1915
Mailing address:
  • Phone: 717-627-7696
  • Fax: 717-626-1915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA053226
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: