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Individual

AUDREY LASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2537
(816) 753-5144
Mailing address
5626 SPRING AVE, KANSAS CITY, KS 66104-2029
(913) 963-9448

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015034066
MO

Other

Enumeration date
01/07/2016
Last updated
03/04/2024
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