Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa E Rostvold

Organization Prosthetic/Orthotic Supplier · NPI 1558539338

Lisa E Rostvold is a Prosthetic/Orthotic Supplier in Warsaw, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
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Practice location Address checks out

110 N Buffalo St
Warsaw, IN 46580-2754
Phone: (574) 267-5537
Fax: (574) 267-6165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence CPED2624 (IN)

Record details

NPI number1558539338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rostvold — Owner · (574) 267-5537
Other names Blue Moon Shoes
NPI enumeratedFebruary 14, 2008
Last updated in NPPESJune 19, 2008
Mailing address110 N Buffalo St, Warsaw, IN 46580-2754

Other providers in Warsaw