Individual provider · Type 1 NPI

Lisa M. Park, FNP

Family Nurse Practitioner · Leawood, KS

NPI number 1881950533 Active

Practice location

11729 Roe Ave
Leawood, KS 66211-2605

Mailing address

19003 W 163rd Ct
Olathe, KS 66062-3564

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X53-75279-101 (KS)

Family Nurse Practitioner: Definition to come...

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About NPI 1881950533

Lisa M. Park, FNP's National Provider Identifier is 1881950533, issued on Apr 6, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Leawood, KS. The record was last updated on Apr 6, 2012.