Individual
LAUREN C LOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2800 CLAY EDWARDS DRIVE,, CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT, NORTH KANSAS CITY, MO 64116
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135721
KS
163W00000X
Registered Nurse
2463161
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2021049495
MO
Other
Enumeration date
09/21/2021
Last updated
02/06/2026
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