About Lisa Jack
Lisa Jack is a Specialist healthcare provider based in Wichita, Kansas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/14/2022. The National Provider Identifier (NPI) number assigned to this provider is 1053041830.
No pharmaceutical payment records or Medicare utilization data were found in the CMS databases for this provider. This does not reflect on the quality of care provided.
Practice Information
- Specialty Specialist
- Location Wichita, KS
- Active Since 06/14/2022
- Last Updated 06/14/2022
- Taxonomy Code 174400000X
- Entity Type Individual
- NPI Number 1053041830
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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