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Individual

LAURIE D FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13725 METCALF AVE # 403, OVERLAND PARK, KS 66223-7899
(913) 498-8787
(913) 498-1744
Mailing address
13725 METCALF AVE # 403, OVERLAND PARK, KS 66223-7899
(913) 498-8787
(913) 498-1744

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-26270
KS
207Q00000X
Family Medicine Physician
MD 103975
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100192310C
KS
05
208278135
MO
Enumeration date
09/15/2005
Last updated
07/19/2024
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