Lisa Heatly Masterson in Fort Leavenworth - Family Medicine

Lisa Heatly Masterson - NPI 1962599209

Lisa Heatly Masterson is a Family Medicine in Fort Leavenworth, Kansas. Lisa Heatly Masterson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lisa Heatly Masterson is 1962599209. The last update date is 2007-07-08.

Lisa Heatly Masterson's current location address is 550 Pope Ave, Fort Leavenworth, Kansas. You can contact this provider via phone number 9136846562 and fax number 9136846208. The mailing address for Lisa Heatly Masterson is 550 Pope Ave, Fort Leavenworth, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Heatly Masterson
Address 550 Pope Ave, Fort Leavenworth, Kansas
Phone Number 9136846562
Fax Number 9136846208
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1962599209
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 550 Pope Ave
City Fort Leavenworth
State Kansas (KS)
Post Code 660272332
Phone Number 9136846562
Fax Number 9136846208

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 04-30174
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Lisa Heatly Masterson

What is the unique 10-digit identification code assigned to Lisa Heatly Masterson by the Centers for Medicare & Medicaid Services?

The Lisa Heatly Masterson has been issued the NPI (National Provider Identifier) 1962599209, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Lisa Heatly Masterson?

The Lisa Heatly Masterson is physically situated at 550 Pope Ave, in the city of Fort Leavenworth, state of KS, with the postal code 660272332.

What is Lisa Heatly Masterson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lisa Heatly Masterson is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1962599209 to Lisa Heatly Masterson?

The Centers for Medicare & Medicaid Services originally issued the 1962599209 to Lisa Heatly Masterson on 2006-10-06.

When was the information pertaining to Lisa Heatly Masterson most recently updated or revised?

The details related to Lisa Heatly Masterson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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