Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA JACK
ActiveLISA JACK is a Specialist healthcare provider located in WICHITA, Kansas. NPI 1053041830 is currently active in the NPPES registry. Verify at CMS.
Specialist · WICHITA, KS
Registration Details
- NPI Number
- 1053041830
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2022 (4.2068065656777 yrs)
- Last Updated
- Jun 14, 2022
Practice Information
- Address
-
8625 E 37TH ST N STE 101WICHITA, KS, 672262008Browse KS providers · Browse ZIP 67226
- Phone
- 3166488545
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| CARLENE DENISE KLASSEN | MD | 1356347470 |
| DR. DENNIS L ROSS | M.D. | 1073510376 |
| DR. KENNETH L KOVACH | M.D. | 1881691186 |
| DR. LISA A WEBER | M.D. | 1134126436 |
| MRS. KAREN L BOHATY | PA-C | 1811998792 |
| DR. PARULA PRAKASH RAGHAVAN | MD | 1992707434 |
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.