Provider Demographics
NPI:1093364887
Name:BUEHLER, LISA (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:BUEHLER
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 CANYON VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-6270
Mailing Address - Country:US
Mailing Address - Phone:913-683-5938
Mailing Address - Fax:
Practice Address - Street 1:5000 10TH AVE
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5514
Practice Address - Country:US
Practice Address - Phone:913-250-0918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO041567183500000X
KS1-10799183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist