Individual
MRS. LISA MAE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2019039802
MO
367500000X
Certified Registered Nurse Anesthetist
4355623
KS
367500000X
Certified Registered Nurse Anesthetist
R0067539
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200068350A
—
OK
05
—
200634850A
—
KS
Enumeration date
06/23/2006
Last updated
11/02/2022
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