LARA FISCUS

SHAWNEE, KS
NPI1386290021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KS  53-78946-101)
Enumeration Date2019-08-16
Last Update Date2024-04-17
Business Address
LARA FISCUS
22334 W 66TH ST
SHAWNEE, KS 66226-3560
Phone number: 913-825-0909
Mailing Address
LARA FISCUS
22334 W 66TH ST
SHAWNEE, KS 66226-3560
Phone number:
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