Individual
DR. LANCER GENTRY GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2750 CLAY EDWARDS DR STE 200A, NORTH KANSAS CITY, MO 64116-3237
(816) 968-9320
Mailing address
2750 CLAY EDWARDS DR STE 200A, N KANSAS CITY, MO 64116-3237
(816) 968-9320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000174342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200304460A
—
KS
05
—
245309117
—
MO
01
—
28043027
BLUE SHIELD KANSAS CITY
MO
01
—
5400729
AETNA
MO
Enumeration date
07/06/2005
Last updated
11/05/2007
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