Individual
LISA JENNIFER SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 W 48TH PL STE 900, KANSAS CITY, MO 64112-1899
(816) 572-4615
(816) 817-5180
Mailing address
1512 NE AMANDA LN, LEES SUMMIT, MO 64086-5910
(816) 600-5041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2005036712
MO
363LF0000X
Family Nurse Practitioner
45809
KS
Other
Enumeration date
07/27/2006
Last updated
06/02/2016
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