Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA G. DISTEFANO, M.D.
ActiveDR. LISA G. DISTEFANO, M.D. is a Internal Medicine healthcare provider located in OVERLAND PARK, Kansas. NPI 1003810789 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · OVERLAND PARK, KS
Registration Details
- NPI Number
- 1003810789
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2005 (21.144933187674 yrs)
- Last Updated
- Nov 12, 2024
- Licenses
-
119536 (MO)119536 (MO)0450138 (KS)
Practice Information
- Address
-
12541 FOSTER ST STE 300OVERLAND PARK, KS, 662132304Browse KS providers · Browse ZIP 66213
- Phone
- 9133173200
- Fax
- 9133173218
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in OVERLAND PARK, KS
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD BLAIR HARTMAN | M.D. | 1659377810 |
| DR. JENNIFER S BEQUETTE | M.D. | 1033118120 |
| JEENA VIJI EAPEN | M.D. | 1023018926 |
| DR. AMMAR KHALIFA | MD | 1780677948 |
| DR. BHARATA LANKACHANDRA | M.D. | 1417940313 |
| MR. JAY A LEDNICKY | M.D. | 1134112048 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.