# DR. LISA MARIE HERMES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003818345
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0429105 | KS | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2001006202 | MO | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 10/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100404340B | — | KS |
| 05 | — | 205318504 | — | MO |