Individual
LILLIAN ADELLE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20375 W 151ST ST STE 301, OLATHE, KS 66061-7207
(913) 390-8050
(913) 390-8049
Mailing address
20375 W 151ST ST STE 301, OLATHE, KS 66061-7207
(913) 390-8050
(913) 390-8049
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
85526
KS
363L00000X
Nurse Practitioner
Primary
53-77927
KS
Other
Enumeration date
09/14/2017
Last updated
10/19/2017
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