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

Lisa Hydorn

Individual provider Certified Registered Nurse Anesthetist · NPI 1598238172

Lisa Hydorn is a Certified Registered Nurse Anesthetist (CRNA) in Novi, Michigan. Qualified in 2018, 8 years ago. Practices with Henry Ford Health Rochester Hospital, a 103-clinician group. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019

Practice location Address checks out

47601 Grand River Ave
Novi, MI 48374-1233
Phone: (248) 465-4249
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704289100 (MI)

Record details

NPI number1598238172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2019
Last updated in NPPESJanuary 7, 2019
Mailing address30400 Telegraph Rd Ste 405, Bingham Farms, MI 48025-5817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Henry Ford Health Rochester Hospital — 103 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Novi