Individual
MRS. LISA GAYLE LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
12200 W 106TH ST, SUITE 235, OVERLAND PARK, KS 66215-2305
(913) 492-8686
(913) 338-1311
Mailing address
PO BOX 741331, ATLANTA, GA 30374-1331
(913) 469-0503
(913) 469-5267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45914
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325950B
—
KS
05
—
1346437407
—
MO
Enumeration date
10/02/2007
Last updated
12/31/2012
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