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Individual

DR. WENIFREDO ARLAN LISONDRA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
4101 S 4TH ST, BLDG 122, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
10221 BOND ST, OVERLAND PARK, KS 66214-2724
(913) 492-6422

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2565
SD

Other

Enumeration date
06/25/2006
Last updated
07/08/2007
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