Healthcare Provider Details

I. General information

NPI: 1427941897
Provider Name (Legal Business Name): LILLIE SCHAFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9426 PFLUMM RD
LENEXA KS
66215-3308
US

IV. Provider business mailing address

104 S LAFAYETTE ST
CORDER MO
64021-7849
US

V. Phone/Fax

Practice location:
  • Phone: 913-608-7435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number01041
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: