Individual
TIFFANY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28000 E HOWARD DR, LAKE LOTAWANA, MO 64086-7810
(816) 877-1470
Mailing address
28000 E HOWARD DR, LAKE LOTAWANA, MO 64086-7810
(816) 877-1470
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010042377
MO
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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