Individual
DR. LAURI ELLEN BLANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
504 E 29TH AVE, KANSAS CITY, MO 64116-2905
(816) 472-0982
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005033049
MO
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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