Individual
ELIZABETH VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-5600
Mailing address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011041482
MO
363A00000X
Physician Assistant
—
TX
Other
Enumeration date
05/03/2010
Last updated
05/01/2023
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