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Lisa E Rostvold

NPI #1558539338 in Warsaw, Indiana

Provider Information

NPI Number
1558539338
Entity Type
Organization
Organization Name
Lisa E Rostvold
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Feb 14, 2008
Last Updated
Jun 19, 2008

Practice Location

Address
110 N BUFFALO ST
City
Warsaw
State
Indiana
ZIP Code
46580-2754
Phone
(574) 267-5537

Authorized Official

Name
MS. LISA ELLEN ROSTVOLD, CERTIFIED PEDORTHIST
Title
OWNER
Phone
(574) 267-5537

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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