| Doctor Name: | LISA DAWN ECKHARDT |
| NPI Number: | 1366729279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 085004016 |
| Business Practice Address: | 331 Sijan Ave Whiteman Afb, MO - 653055630 |
| Business Phone Number: | 6606872157 |
| Business Fax Number: | |
| Mailing Address: | Po Box 810, WARRENSBURG |
| State: | MO |
| Postal Code: | 640930280 |
| Phone Number: | 6605257482 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2011 |
| NPI Last Update Date: | 06/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 085004016 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |