Individual
LORENE CREASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2200
(913) 789-3106
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 789-3106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
46317
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200606620A
—
KS
01
—
P00722522
RR MEDICARE GROUP CG8899
KS
Enumeration date
02/19/2009
Last updated
08/07/2009
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