Provider Demographics
NPI:1649864943
Name:LIZMED PLLC
Entity type:Organization
Organization Name:LIZMED PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:816-589-7264
Mailing Address - Street 1:4201 SW CLIPPER LN
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4793
Mailing Address - Country:US
Mailing Address - Phone:816-589-7264
Mailing Address - Fax:844-387-6314
Practice Address - Street 1:4201 SW CLIPPER LN
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082-4793
Practice Address - Country:US
Practice Address - Phone:816-589-7264
Practice Address - Fax:844-387-6314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1417268798OtherNPI