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1881950533
LISA M PARK
LEAWOOD, KS
NPI
1881950533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 53-75279-101)
Enumeration Date
2012-04-06
Last Update Date
2012-04-06
Business Address
Mrs. LISA M PARK FNP
11729 ROE AVE
LEAWOOD, KS 66211-2605
Phone number: 913-345-8404
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Mailing Address
Mrs. LISA M PARK FNP
19003 W 163RD CT
OLATHE, KS 66062-3564
Phone number: 913-645-2255
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