LISA M PARK

LEAWOOD, KS
NPI1881950533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KS  53-75279-101)
Enumeration Date2012-04-06
Last Update Date2012-04-06
Business Address
MRS. LISA M PARK FNP
11729 ROE AVE
LEAWOOD, KS 66211-2605
Phone number: 913-345-8404
Mailing Address
MRS. LISA M PARK FNP
19003 W 163RD CT
OLATHE, KS 66062-3564
Phone number: 913-645-2255
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