Individual
LISA R GHERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 HIDDEN MEADOW DR, NEWTON, KS 67114-9786
(316) 282-2288
(316) 282-2288
Mailing address
3214 HIDDEN MEADOW DR, NEWTON, KS 67114-9786
(316) 282-2288
(316) 282-2288
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100354280A
—
KS
Enumeration date
05/24/2007
Last updated
07/09/2007
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