Individual
MR. MARK S LIPARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3495
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
104015
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
104015
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912900602
—
MO
Enumeration date
10/05/2006
Last updated
11/24/2020
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