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Mrs. Lisa D Raderstorf, PA-C
Physician Assistant in South Bend, Indiana
NPI 1245421031

Lisa D Raderstorf is a Physician Assistant based in Troy, IN. Lisa D Raderstorf practices in South Bend, IN and has the professional credentials of PA-C. The NPI Number for Lisa D Raderstorf is 1245421031 and holds a License No. 10000915A (Indiana).

The current practice location address for Lisa D Raderstorf is 5838 W Brick Rd, South Bend, IN and can be reached out via phone at 574-247-1911 and via fax at 574-247-1912. You can also correspond with Lisa D Raderstorf through the mailing address at PO BOX 1239, TROY, MI - 48099-1239 (mailing address contact number: 248-824-6600).

Location: 5838 W Brick Rd, South Bend, IN, 48099-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245421031
Provider Name
Lisa D Raderstorf
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5838 W Brick Rd, South Bend, IN, 48099-1239
Phone Number
574-247-1911
Fax Number
574-247-1912
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000527324 01 IN ANTHEM BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
5838 W Brick Rd
City
South Bend
State
Indiana
Zip
46628-8423
Phone Number
574-247-1911
Fax Number
574-247-1912
person
Provider Business Mailing Address Details
Address
Po Box 1239
City
Troy
State
Michigan
Zip
48099-1239
Phone Number
248-824-6600
Fax Number
248-324-1477
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10000915A (Indiana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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