Rader, Lisa C

Rader, Lisa C is an individual health care provider with primary practice located at 104 Selma Dr , Winchester VA 22601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rader, Lisa C can be contacted via phone (540) 678-2800.

Contact Information

Primary practice address
104 Selma Dr Winchester VA 22601
Fax: (540) 678-2859
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP0024166267 Virginia

Profile Details

NPI number 1740245786
LBN Legal business name Rader, Lisa C
Credentials A-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 15th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740245786 NPPES
Virginia Other 384801 ANTHEM

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