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Individual

TYLER CODY LORENZO HOUSER

Active
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Individual

TYLER CODY LORENZO HOUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13135131121
KS
163W00000X
Registered Nurse
2017025595
MO
363L00000X
Nurse Practitioner
Primary
2021029448
MO

Other

Enumeration date
05/21/2021
Last updated
11/18/2025
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