Provider Demographics
NPI:1962481549
Name:WEIXLER, LOIS CAROL (DO)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:CAROL
Last Name:WEIXLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8166 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-2509
Mailing Address - Country:US
Mailing Address - Phone:304-634-8221
Mailing Address - Fax:
Practice Address - Street 1:5701 W 110TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-2503
Practice Address - Country:US
Practice Address - Phone:304-634-8221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006319207Q00000X
WVWV1479207Q00000X
KS05-48660207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810019056Medicaid
OH0215887Medicaid
001713817OtherBLUE CROSS BLUE SHIELD
WVWE0788596OtherPTAN
KY64002322Medicaid
WV3810019056Medicaid
WVWE0788596Medicare PIN
001713817OtherBLUE CROSS BLUE SHIELD