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NPI Code Detail

MEDICARE: LISA K WELKER N.P.

MEDICARE: LISA K WELKER N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner100568MO

General Provider Information

NPI Number : 1467718288
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA K WELKER N.P.
Provider Business Mailing Address
First Line : 503 N SCOTT AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-1730
Country : US
Telephone Number : 816-322-4769
Fax Number : 816-322-3508
Provider Business Practice Location Address
First Line : 503 N SCOTT AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-1730
Country : US
Telephone Number : 816-322-4769
Fax Number : 816-322-3508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2012
Last Update Date : 04/05/2012

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