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Edward J. Lis, Jr, Do, Pllc

Orthopaedic Surgery Physician in Fenton, MI · enumerated 2017 · authorized official Laurel Wisniewski, Credentialing/Coding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578086146

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Registry record

Entity type Organization (Type 2)
Legal business name Edward J. Lis, Jr, Do, Pllc
Practice address 17200 Silver Pkwy, Fenton, MI, 48430
Fax (248) 872-8001
Enumeration date Jul 25, 2017
Last updated in NPPES Jul 25, 2017

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 5101014456 (MI) Primary

Authorized official

Name Laurel Wisniewski
Title Credentialing/Coding

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Edward J. Lis, Jr, Do, Pllc located?
The practice location on file with NPPES is in Fenton, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-07-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-07-25.