Provider Demographics
NPI:1700833506
Name:MILBURN, LISA LOUISE (CPED, CFO)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:LOUISE
Last Name:MILBURN
Suffix:
Gender:F
Credentials:CPED, CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9303 W 75TH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2234
Mailing Address - Country:US
Mailing Address - Phone:913-341-8222
Mailing Address - Fax:913-341-8272
Practice Address - Street 1:9303 W 75TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2234
Practice Address - Country:US
Practice Address - Phone:913-341-8222
Practice Address - Fax:913-341-8272
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
35093011OtherBCBS OF KANSAS CITY
5033300002Medicare ID - Type Unspecified