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

LISA VAN DORP, PA

Active

LISA VAN DORP, PA is a Surgical Physician Assistant healthcare provider located in MIDLAND, Michigan. NPI 1407227820 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · MIDLAND, MI

Registration Details

NPI Number
1407227820
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2015 (10.881288035973 yrs)
Last Updated
Nov 6, 2019
License
5601007489 (MI)

Practice Information

Address
4000 WELLNESS DR
MIDLAND, MI, 486702000
Browse MI providers · Browse ZIP 48670
Phone
9898393000
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in MIDLAND, MI

Name Credential NPI
SUZANNE J JAGER PA 1053310888
LAURA M SCOTT P.A.-C 1285675843
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.