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Individual

LISA SCHEWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
12300 METCALF AVE, ANESTHESIA DEPT, OVERLAND PARK, KS 66213-1324
(816) 389-6030
(816) 389-6034
Mailing address
9233 WARD PKWY, SUITE 230, KANSAS CITY, MO 64114-3366
(816) 389-6030
(816) 389-6034

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
140153
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
55047
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100276770C
MO
05
100276770D
KS
01
22807029
MO BCBS NUMBER
MO
01
22807039
KS BCBS NUMBER
KS
05
918234519
MO
05
918234527
KS
01
P00219601
MO RR MEDICARE NUMBER
MO
Enumeration date
05/18/2006
Last updated
11/01/2013
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