Individual
LISA K LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 CLAY EDWARDS DR, SUITE 400, NORTH KANSAS CITY, MO 64116-3251
(816) 421-4240
(816) 421-5015
Mailing address
2700 CLAY EDWARDS DR, SUITE 240, NORTH KANSAS CITY, MO 64116-3251
(816) 691-5287
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
104159
MO
Other
Enumeration date
12/28/2007
Last updated
02/11/2016
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