Individual
MRS. LISA M HARRIS
Active
Individual
MRS. LISA M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1500851
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100424600C
—
KS
01
—
426809
BCBS
KS
Enumeration date
05/13/2006
Last updated
09/28/2022
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