Whalio Doctors

NPI 1003810789

Lisa G. Distefano, MD

Practitioner Internal Medicine Physician Overland Park, KS

Practice location

Address
12541 Foster St STE 300, Overland Park, KS 66213-2304
Phone
(913) 317-3200
Fax
(913) 317-3218

Registered specialties (3)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 0450138 (KS)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 119536 (MO)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 119536 (MO)

Registry record

NPI
1003810789
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Jun 2005
Record last updated
12 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.