Park, Lisa M

Park, Lisa M is an sole proprietor health care provider with primary practice located at 11729 Roe Ave , Leawood KS 66211-2605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Park, Lisa M can be contacted via phone (913) 345-8404.

Contact Information

Primary practice address
11729 Roe Ave Leawood KS 66211-2605
Phone: (913) 345-8404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53-75279-101 Kansas

Profile Details

NPI number 1881950533
LBN Legal business name Park, Lisa M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2012
Last updated Apr 6th, 2012 - about 14 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.

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