Provider Demographics
NPI:1477262970
Name:FRISBIE, LISA ELAINE
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ELAINE
Last Name:FRISBIE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:WISEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3103 N MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-2545
Mailing Address - Country:US
Mailing Address - Phone:620-231-5130
Mailing Address - Fax:
Practice Address - Street 1:3103 N MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-2545
Practice Address - Country:US
Practice Address - Phone:620-231-5130
Practice Address - Fax:620-231-1152
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS82457363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health