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Individual

DR. MARIA CHARISSE LACHICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
04-28780
KS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2000152090
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100381760G
KS
01
1266947
CIGNA
MO
05
205156508
MO
01
29813041
BCBS OF KC (INCLUDES PHP)
MO
01
396330
FIRST GUARD
MO
01
62212
COVENTRY
MO
01
7102649
AETNA
MO
Enumeration date
07/19/2006
Last updated
02/04/2016
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