Lisa Jack is a Specialist based in Wichita, KS. Lisa Jack practices in Wichita, KS. The NPI Number for Lisa Jack is 1053041830 and holds a License No. (Kansas).
The current practice location address for Lisa Jack is 8625 E 37Th St N Ste 101, Wichita, KS and can be reached out via phone at 316-648-8545.
Location: 8625 E 37Th St N Ste 101, Wichita, KS, 67208-1703
Provider Profile Details
NPI Number
1053041830
Provider Name
Lisa Jack
Credential
Provider Entity Type
Individual
Gender
Female
Address
8625 E 37Th St N Ste 101, Wichita, KS, 67208-1703
Phone Number
316-648-8545
Fax Number
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
8625 E 37Th St N Ste 101
City
State
Zip
67226-2008
Phone Number
316-648-8545
Fax Number
Provider Business Mailing Address Details
Address
8625 E 37Th St N Ste 101
City
State
Zip
67226-2008
Phone Number
316-648-8545
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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