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Individual

LISA A SCHNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
5701 W 119TH ST, SUITE 135, OVERLAND PARK, KS 66209-3722
(913) 451-1311
(913) 451-7511
Mailing address
5701 W 119TH ST, SUITE 135, OVERLAND PARK, KS 66209-3722
(913) 451-1311
(913) 451-7511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30899
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002685301A
KS
Enumeration date
09/09/2005
Last updated
08/16/2007
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