NPI
Lisa Alt Elder
NPI 1508025685
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PT
- Type
- Individual
- Enumeration date
- 2008-06-04
- Last updated
- 2022-04-13
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Specialties
Licenses
- License CO
- MSPTL.0000018
- License GA
- PT008993
- License KS
- 11-06634
Location
- Practice location
- 608 N Mulberry Rd
- City
- Derby KS
- Postal code
- 67037-3532
- Phone
- (316) 202-0996
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Derby, KS. 452 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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