Individual
LISA MARIE KRUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 E SPRUCE ST STE 3B, GARDEN CITY, KS 67846-5685
(620) 275-3740
(620) 275-3761
Mailing address
311 E SPRUCE ST STE 3B, GARDEN CITY, KS 67846-5685
(620) 275-3740
(620) 275-3761
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-43502
KS
208600000X
Surgery Physician
15090
NV
208600000X
Surgery Physician
4301089332
MI
208600000X
Surgery Physician
51331-20
WI
Other
Enumeration date
05/01/2007
Last updated
10/07/2020
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