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Individual

LAWRENCE MORLEY HOUSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12701 METCALF AVE, SUITE 103, OVERLAND PARK, KS 66213-2617
(913) 383-0711
Mailing address
12701 METCALF AVE, SUITE 103, OVERLAND PARK, KS 66213-2617
(913) 383-0711

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18123
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40193015
BLUE CROSS BLUE SHIELD OF KANSAS CITY
Enumeration date
07/27/2006
Last updated
04/01/2015
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