Individual
LISA MARIE MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23351 PRAIRIE STAR PKWY, SUITE A245, LENEXA, KS 66227-6201
(913) 676-8630
(913) 676-8635
Mailing address
23351 PRAIRIE STAR PKWY, SUITE A245, LENEXA, KS 66227-6201
(913) 676-8630
(913) 676-8635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0227370
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102585
BC KS
—
05
—
2087636301
—
KS
01
—
31640017
BCBS KC
MO
Enumeration date
08/22/2005
Last updated
07/30/2014
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