Most Relevant Information
Provider Data
| NPI Number: | 1003548892 |
| Provider Name: | LISA ANN DYSON |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/29/2022 |
| Last Updated: | 06/29/2022 |
Provider Practice Location
618 COMMERCIAL ST
EMPORIA
KS
668013969
Practice Location Phone/Fax
| Phone: | 6203422239 |
| Fax: |
Provider Mailing Location
618 COMMERCIAL ST
EMPORIA
KS
668013969
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |