Individual
DR. LISA MARIE HERMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 WORNALL RD, REHAB PHYSICIANS MEDICAL GROUP, MAIN 4, KANSAS CITY, MO 64111-3220
(816) 932-2020
(816) 932-6211
Mailing address
4401 WORNALL RD, REHAB PHYSICIANS MEDICAL GROUP, MAIN 4, KANSAS CITY, MO 64111-3220
(816) 932-2020
(816) 932-6211
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0429105
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2001006202
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100404340B
—
KS
05
—
205318504
—
MO
Enumeration date
06/01/2005
Last updated
10/07/2011
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