Provider Demographics
NPI:1144339037
Name:GILMER, LISA S (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:S
Last Name:GILMER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2106 OLATHE BLVD MS 4004
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-7816
Mailing Address - Country:US
Mailing Address - Phone:913-588-6300
Mailing Address - Fax:913-274-3515
Practice Address - Street 1:7301 MISSION RD STE 350
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3075
Practice Address - Country:US
Practice Address - Phone:913-588-6300
Practice Address - Fax:913-274-3515
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2025-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-27032208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205132004Medicaid
KS675310OtherFIRSTGUARD
KS100367040AMedicaid
370017395OtherRAILROAD MEDICARE
MO27436014OtherBCBS KANSAS CITY