Lisa Joy Vandertol, RN is a
Registered Nurse based in Reed City, Michigan. Lisa Joy Vandertol is licensed to practice in Michigan (license number 4704270281) and her current practice location is
4473 220th Ave, Reed City, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 832-2247.
NPI number for Lisa Joy Vandertol is 1467161471 and her current mailing address is 13907 Delta Dr, Big Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467161471.
Provider's Profile
| Full Name | Lisa Joy Vandertol |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 4473 220th Ave, Reed City, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467161471
- Provider Enumeration Date: 11/17/2022
- Last Update Date: 11/17/2022
Medical Identifiers
Medical identifiers for Lisa Joy Vandertol such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467161471 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 4704270281 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Joy Vandertol is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisa Joy Vandertol, RN
13907 Delta Dr,
Big Rapids, MI 49307-9574
Ph: (231) 250-3316 | Lisa Joy Vandertol, RN
4473 220th Ave,
Reed City, MI 49677-8593
Ph: (231) 832-2247 |
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