Individual
LORRAINE A BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
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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