Individual
LIZETH SOLEDAD PEREZ ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C CSA CSA CST
Contact information
Practice address
23351 PRAIRIE STAR PKWY, LENEXA, KS 66227
(913) 676-8630
Mailing address
23536 W 90TH ST, LENEXA, KS 66227-5523
(620) 309-1585
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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