Individual
LISA TAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S MARKET ST STE 2C, WICHITA, KS 67202-3824
(316) 755-0144
(844) 274-1204
Mailing address
100 S MARKET ST STE 2C, WICHITA, KS 67202-3824
(316) 755-0144
(844) 274-1204
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
53-78834
KS
Other
Enumeration date
06/24/2019
Last updated
01/13/2026
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