DR. Lisa G. Distefano, M.D.

NPI #1003810789 in Overland Park, Kansas

Provider Information

NPI Number: 1003810789
Entity Type: Individual
Name: DR. Lisa G. Distefano, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 9, 2005
Last Updated: Nov 12, 2024

Practice Location

Address: 12541 FOSTER ST STE 300
City: Overland Park
State: Kansas
ZIP Code: 66213-2304
Phone: (913) 317-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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