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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LISA D RADERSTORF, PA-C

Active

MS. LISA D RADERSTORF, PA-C is a Physician Assistant healthcare provider located in GRANGER, Indiana. NPI 1245421031 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRANGER, IN

Registration Details

NPI Number
1245421031
Provider Type
Individual
Gender
Female
NPI Issued
Aug 6, 2007 (19.011395723516 yrs)
Last Updated
Jul 14, 2025
License
5601006281 (MI)

Practice Information

Address
52500 FIR RD
GRANGER, IN, 465308579
Browse IN providers · Browse ZIP 46530
Phone
5742710700
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRANGER, IN

Name Credential NPI
ERINN C FULLER PA-C 1295058717
MS. AMY MARIE POPE P.A.-C 1770891608
DANIELLE BROWN PA 1780295956
NICOLE JOY MINNICH 1922712058
KARA SHRIDER 1629929559
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.