Individual
DR. LISA ANN MCPEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, G018 MURPHY, MAILSTOP 1046, KANSAS CITY, KS 66160-0001
(913) 588-6796
(913) 588-6765
Mailing address
3901 RAINBOW BLVD, 4017 DELP, KANSAS CITY, KS 66160-0001
(913) 588-6796
(913) 588-6765
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-27393
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24581010
BCBS KANSAS CITY
MO
01
—
655170
FIRSTGUARD
KS
Enumeration date
09/01/2006
Last updated
07/09/2007
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