Individual
LORI WEATHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 TARA RIDGE DR, CHESTERFIELD, MO 63005-3608
(913) 549-7020
(913) 549-7020
Mailing address
902 TARA RIDGE DR, CHESTERFIELD, MO 63005-3608
(913) 549-7020
(913) 549-7020
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN9427735
MO
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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