Castro, Lisa M
Castro, Lisa M is an individual health care provider with primary practice located at 10500 Quivira Rd , Overland Park KS 66215-2306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Castro, Lisa M can be contacted via phone (913) 310-0225.Contact Information
Primary practice address
10500 Quivira Rd
Overland Park KS 66215-2306
Phone: (913) 310-0225
Fax: (913) 310-0565
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 20040000206 | Missouri |
Profile Details
NPI number | 1902863889 |
---|---|
LBN Legal business name | Castro, Lisa M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Jun 12th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902863889 | NPPES |
Missouri | MEDICAID | 209075605 | |
Missouri | MEDICAID | 200253830D |
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