Individual
MRS. LILA M MOURNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
101 E ROSS ST, CLEARWATER, KS 67026-7824
(620) 584-2055
(620) 584-2032
Mailing address
101 E ROSS ST, CLEARWATER, KS 67026-7824
(620) 584-2055
(620) 584-2032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44393
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380770
FIRSTGUARD
KS
01
—
9781
PREFERRED PLUS OF KANSAS
KS
Enumeration date
08/21/2006
Last updated
07/08/2007
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