Provider Demographics
NPI:1083191001
Name:ADAMS, LISA G (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:G
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32302 W 231ST ST
Mailing Address - Street 2:
Mailing Address - City:LAWSON
Mailing Address - State:MO
Mailing Address - Zip Code:64062-8159
Mailing Address - Country:US
Mailing Address - Phone:913-940-1127
Mailing Address - Fax:
Practice Address - Street 1:235 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:EXCELSIOR SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64024-2564
Practice Address - Country:US
Practice Address - Phone:913-940-1127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator