Lisa Heatly Masterson, MD

NPI #1962599209 in Fort Leavenworth, Kansas

Provider Information

NPI Number: 1962599209
Entity Type: Individual
Name: Lisa Heatly Masterson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 550 POPE AVE
Address 2: MUNSON ARMY HEALTH CENTER ATTN:MCXN-COD,MS COTTON
City: Fort Leavenworth
State: Kansas
ZIP Code: 66027-2332
Phone: (913) 684-6562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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