MEDICARE: LISA M. RAUSCHER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	10000434A	IN

General Provider Information

NPI Number	:	1699839605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA M. RAUSCHER PA

Provider Business Mailing Address
First Line	:	3838 N 1ST AVE # D
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47710-3326
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 N 1ST AVE
Second Line	:	STE D
City	:	EVANSVILLE
State	:	IN
Zip	:	47710-3326
Country	:	US
Telephone Number	:	812-425-0300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	08/10/2022

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