Lisa Jack
Lisa Jack is a Specialist in Wichita, Kansas. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
8625 E 37th St N Ste 101Wichita, KS 67226-2008
Phone: (316) 648-8545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1053041830 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 14, 2022 |
| Last updated in NPPES | June 14, 2022 |
| Certification date | June 14, 2022 |
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