Individual
LORI E FALCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1121 N COLLEGE PARK ST STE 400, DERBY, KS 67037-3667
(316) 788-3376
Mailing address
1121 N COLLEGE PARK ST STE 400, DERBY, KS 67037-3667
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
53-79752-112
KS
363L00000X
Nurse Practitioner
Primary
53-79752-112
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-79752-112
APRN
KS
Enumeration date
10/06/2020
Last updated
05/17/2023
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