Healthcare Provider Details

I. General information

NPI: 1396793923
Provider Name (Legal Business Name): LISA H HUTCHISON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA H LOWE M.D.

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 10/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 QUIVIRA RD
OVERLAND PARK KS
66215-2373
US

IV. Provider business mailing address

10310 N GARFIELD AVE
KANSAS CITY MO
64155-3244
US

V. Phone/Fax

Practice location:
  • Phone: 816-679-8710
  • Fax:
Mailing address:
  • Phone: 816-679-8710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number2000171363
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: