Individual
HARRY LOUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12121 BLUE RIDGE EXT, BLUE RIDGE FAMILY PHYSICIANS, STE. M, GRANDVIEW, MO 64030-6401
(816) 761-0884
(816) 716-1790
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36186
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080160972
RR MEDICARE
—
01
—
10001636300
CHP
—
01
—
10204081
BCBS
—
01
—
157695XX
PREFERRED CARE OF NY
—
01
—
2054542
AETNA
—
01
—
481159444
JAYHAWK TAX ID
—
Enumeration date
05/28/2006
Last updated
09/13/2011
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