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Individual

LORRAINE A BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
108532
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100328400A
KS
05
243870508
MO
Enumeration date
05/12/2006
Last updated
06/13/2011
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