Individual
DR. AARON NICHOLAS LACKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MAILSTOP 1034, KANSAS CITY, KS 66160-8500
(913) 588-6670
(913) 588-3365
Mailing address
3901 RAINBOW BLVD, MAILSTOP 1034, KANSAS CITY, KS 66160-8500
(913) 588-6670
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006006311
MO
207L00000X
Anesthesiology Physician
Primary
D67510
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018363600
—
MD
Enumeration date
10/20/2006
Last updated
09/01/2015
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