Individual
MRS. LAUREN REABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2022025657
MO
363LF0000X
Family Nurse Practitioner
Primary
2022025657
MO
Other
Enumeration date
08/03/2022
Last updated
10/17/2023
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