Pazdernik, Lisa Ann
Pazdernik, Lisa Ann is an sole proprietor health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Pazdernik, Lisa Ann can be contacted via phone (913) 676-2219.Contact Information
Primary practice address
9100 W 74Th St
Shawnee Mission KS 66204-4004
Phone: (913) 676-2219
Fax: (913) 789-6700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 04-27740 | Kansas |
Profile Details
| NPI number | 1306872957 |
|---|---|
| LBN Legal business name | Pazdernik, Lisa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Jun 30th, 2021 - about 5 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 | 1306872957 | NPPES |
| Kansas | MEDICAID | 200360170A |
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