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Mrs. Lisa M Park, FNP
Family Nurse Practitioner in Leawood, Kansas
NPI 1881950533

Lisa M Park is a Family Nurse Practitioner based in Olathe, KS and is specialized in Family. Lisa M Park practices in Leawood, KS and has the professional credentials of FNP. The NPI Number for Lisa M Park is 1881950533 and holds a License No. 53-75279-101 (Kansas).

The current practice location address for Lisa M Park is 11729 Roe Ave, Leawood, KS and can be reached out via phone at 913-345-8404.

Location: 11729 Roe Ave, Leawood, KS, 66062-3564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881950533
Provider Name
Lisa M Park
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
11729 Roe Ave, Leawood, KS, 66062-3564
Phone Number
913-345-8404
Fax Number
Provider Enumeration Date
04/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11729 Roe Ave
City
Leawood
State
Kansas
Zip
66211-2605
Phone Number
913-345-8404
Fax Number
person
Provider Business Mailing Address Details
Address
11729 Roe Ave
City
Leawood
State
Kansas
Zip
66211-2605
Phone Number
913-345-8404
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
53-75279-101 (Kansas)
Definition
Definition to come...
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