Individual
LAUREN TOMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 E 113TH TER, KANSAS CITY, MO 64114-5447
(636) 487-1078
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2018021440
MO
363LP2300X
Primary Care Nurse Practitioner
Primary
2022039659
MO
363LP2300X
Primary Care Nurse Practitioner
53-81719-051
KS
Other
Enumeration date
08/23/2022
Last updated
04/07/2025
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