Lisa I Orrick PAC

NPI 1043286750 - Physician Assistant - 363A00000X

NPI Details
NPI 1043286750
Gender Female
Enumeration Date 02/23/2006
Last Updated 09/09/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
8800 W 75TH ST
STE 140
SHAWNEE MISSION KS, 66204, US
Phone (913) 722-5551
Fax (913) 362-0583
Business Location
5330 N OAK TRAFFICWAY
STE 201
KANSAS CITY MO, 64118, US
Phone (816) 454-0666
Fax (816) 454-1694
Toxanomy
Taxonomy Code 363A00000X
License State Kansas
License Number 1500933
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According to our database, Lisa I Orrick PAC NPI is 1043286750, taxonomy code is 363A00000X and license number is 1500933, license state is located at Kansas. Lisa I Orrick PAC physically located at 8800 W 75th St, Shawnee Mission KS, 66204. NPI Number Lisa I Orrick PAC has the Individual type.

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1043286750 NPI number is provided on an as is basis without warranty of any kind. 1043286750 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa I Orrick PAC are for informational purposes only.