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Contact Information

ELEANOR A LISBON, MD
3901 RAINBOW BLVD
4070 DELP MAIL STOP 4010
KANSAS CITY, KS66160
 Phone: 913-588-1908
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELEANOR A LISBON · (Female)

NPI # 1124114673
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 09/20/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-24164
  • KS Medicaid 100376460A
  • MO Medicaid 205169600
  • Other 080163323 RAILROAD MEDICARE
  • KS Other 372961 FIRSTGUARD
  • MO Other 19883028 BCBS KANSAS CITY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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