LISA D RADERSTORF

GRANGER, IN
NPI1245421031
Former NameLISA DAWN NOLLENBERGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006281)
Enumeration Date2007-08-06
Last Update Date2025-07-14
Business Address
MS. LISA D RADERSTORF PA-C
52500 FIR RD
GRANGER, IN 46530-8579
Phone number: 574-271-0700
Mailing Address
MS. LISA D RADERSTORF PA-C
211 N EDDY ST
SOUTH BEND, IN 46617-3096
Phone number: 574-234-8161
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