Individual
LISA L ANDERSON-PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6235
Mailing address
720 N BROADWAY ST, LEAVENWORTH, KS 66048-1452
(913) 364-4737
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
1476909112
KS
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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