Search › Kansas › 174400000X
Lisa Jack
NPI 1053041830 · on the registry since 2022
Practice
- Address
- 8625 E 37th St N Ste 101
Wichita, KS 67226 - Phone
- (316) 648-8545
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Sex
- Female
- Record last updated
- 2022-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas