Individual
LISA ANN MOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CDCES
Contact information
Practice address
834 N SOCORA ST STE 4, WICHITA, KS 67212-3729
(316) 440-2802
(316) 440-2809
Mailing address
834 N SOCORA ST STE 4, WICHITA, KS 67212-3729
(316) 440-2802
(316) 440-2809
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
110430
KS
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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