Individual
MRS. LISA CHRISTINE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1203 W HAROLD ST, OLATHE, KS 66061-7851
(913) 229-4519
Mailing address
6026 REDBUD ST, SHAWNEE, KS 66218-8419
(620) 786-5694
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10991
KS
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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