Lisenby, Suzan Olivia

Lisenby, Suzan Olivia is an individual health care provider with primary practice located at 5301 Faraon St Ste 200 , Saint Joseph MO 64506-3829. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Lisenby, Suzan Olivia can be contacted via phone (816) 271-7673.

Contact Information

Primary practice address
5301 Faraon St Ste 200 Saint Joseph MO 64506-3829
Phone: (816) 271-7673
Fax: (816) 271-4924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 11405437-1205 Utah
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2022033965 Missouri

Profile Details

NPI number 1629572771
LBN Legal business name Lisenby, Suzan Olivia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2018
Last updated Sep 7th, 2022 - about 2 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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