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

Lisa Ann Waldroup

Individual provider Licensed Practical Nurse · NPI 1184188005

Lisa Ann Waldroup is a Licensed Practical Nurse in Flossmoor, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1633 Tina Ln
Flossmoor, IL 60422-1952
Phone: (708) 922-1344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 07483562 (IL)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 043.1161135 (IL)

Record details

NPI number1184188005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 24, 2019
Last updated in NPPESJanuary 24, 2019

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