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Individual
JEFFREY DALE LAWHEAD
Active
Individual
JEFFREY DALE LAWHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-21047
KS
207Q00000X
Family Medicine Physician
Primary
G146704
CA
207Q00000X
Family Medicine Physician
R9E18
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100545
KANSAS BLUE CROSS
KS
01
—
13829031
BCBS KANSAS CITY
MO
Enumeration date
05/23/2005
Last updated
03/27/2018
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