Lisa Jack is a specialist in Wichita, KS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Lisa Jack NPI is 1053041830. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
8625 E 37TH ST N STE 101
WICHITA, KS
ZIP 67226-008
Phone: (316) 648-8545
The enumeration date for this NPI number is 6/14/2022 and was last updated on 6/14/2022.