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1700835238
LISA GEORGETTE LADDISH
KANSAS CITY, MO
NPI
1700835238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 142165)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
-- LISA GEORGETTE LADDISH CPNP
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3982
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Mailing Address
-- LISA GEORGETTE LADDISH CPNP
1528 SE SILKWOOD LN
LEES SUMMIT, MO 64063-6153
Phone number: 816-524-0376
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