Individual
LORI ELIZABETH BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7935 W 151ST ST, OVERLAND PARK, KS 66223-2124
(913) 814-3788
(913) 814-3766
Mailing address
7935 W 151ST ST, OVERLAND PARK, KS 66223-2124
(913) 814-3788
(913) 814-3766
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-74957-092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200621170B
—
KS
Enumeration date
08/31/2009
Last updated
06/05/2015
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