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Individual

DR. LISA JOANNE TOELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4320 WORNALL RD STE 530, KANSAS CITY, MO 64111-5942
(414) 510-3248
Mailing address
4320 WORNALL RD STE 530, KANSAS CITY, MO 64111-5942

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21269
NV
2086S0127X
Trauma Surgery Physician
04-48052
KS
2086S0127X
Trauma Surgery Physician
Primary
2023011834
MO

Other

Enumeration date
03/26/2016
Last updated
08/21/2023
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