Search › Kansas › 101YM0800X
Lara Wisdom
NPI 1184250979 · on the registry since 2020 · sole proprietor
Practice
- Address
- 11900 W 87th Street Pkwy Ste 130
Lenexa, KS 66215 - Phone
- (615) 571-3982
- Organisation at this address
- Laura A Neely
Tanya Renee Fisher
Kc Cone Beam, L.L.C.
Andrew V Herwig Dds Pa
Therapy Associates LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 100 E. Normal St., Kirksville, MO
- 8818 Golden Ln, De Soto, KS
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
- Licence states on file
- MO, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-09
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