Individual
MISS CAMILLE RAE LUCITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
3171 NE CARNEGIE DR STE A, LEES SUMMIT, MO 64064
(816) 525-2800
(816) 525-4077
Mailing address
3171 NE CARNEGIE DR STE A, LEES SUMMIT, MO 64064-3226
(816) 525-2800
(816) 525-4077
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2000170847
MO
Other
Enumeration date
11/17/2006
Last updated
11/05/2018
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