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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902863889 NPPES
Missouri MEDICAID 209075605
Missouri MEDICAID 200253830D

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