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

Lisa Van Dorp, PA

Individual provider Surgical Physician Assistant · NPI 1407227820

Lisa Van Dorp, PA is a Surgical Physician Assistant in Midland, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4000 Wellness Dr
Midland, MI 48670-2000
Phone: (989) 839-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601007489 (MI)

Record details

NPI number1407227820
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2015
Last updated in NPPESNovember 6, 2019
Mailing address5802 S Heritage Ct, Midland, MI 48640-3128

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