Individual
LISA WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 WILLOW WOOD LN, LIBERTY, MO 64068-3554
(816) 878-9878
Mailing address
1311 WILLOW WOOD LN, LIBERTY, MO 64068-3554
(816) 878-9878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14-86359-082
KS
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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