NPI 1558539338

Lisa E Rostvold

Organisation Prosthetic/Orthotic Supplier Warsaw, IN

Practice location

Address: 110 N Buffalo St, Warsaw, IN 46580-2754
Phone: (574) 267-5537
Fax: (574) 267-6165

Authorised official

Name: Lisa Ellen Rostvold
Title: Owner
Phone: (574) 267-5537

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CPED2624 (IN)

Other Prosthetic/Orthotic Supplier providers in Indiana →

Registry record

NPI: 1558539338
Entity type: Organization
NPI issued: 14 Feb 2008
Record last updated: 19 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.