Individual
MS. LISA JOAN BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
LEAVENWORTH VAMC, 4101 SOUTH TRAFFICWAY, LEAVENWORTH, KS 66048
(913) 682-2000
(913) 758-4119
Mailing address
4408 LAKEVIEW DR, LEAVENWORTH, KS 66048-4934
(913) 682-2000
(913) 758-4119
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
13-87161
KS
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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