Individual
LERE SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112
(913) 596-4100
Mailing address
940 WEST PORT PLAZA, STE 270, ST LOUIS, MO 63146
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55428
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200354500A
—
KS
Enumeration date
10/05/2006
Last updated
06/22/2011
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