Individual
LISA ANN PAZDERNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2219
(913) 789-6700
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2219
(913) 789-6700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-27740
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200360170A
—
KS
Enumeration date
06/24/2006
Last updated
06/30/2021
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