Hauerland, Lisa Leanne
Hauerland, Lisa Leanne is an individual health care provider with primary practice located at 19550 E 39Th St S Ste 230 , Independence MO 64057-2309. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Hauerland, Lisa Leanne can be contacted via phone (816) 795-6630.Contact Information
Primary practice address
19550 E 39Th St S Ste 230
Independence MO 64057-2309
Phone: (816) 795-6630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2007033581 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2007033581 | Missouri |
Profile Details
| NPI number | 1891946315 |
|---|---|
| LBN Legal business name | Hauerland, Lisa Leanne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2008 |
| Last updated | May 11th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891946315 | NPPES |
| Missouri | Other | 43727031 | BCBS |
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