Individual
DR. LONNIE T FEAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10800 E 77 TERRACE, RAYTOWN, MO 64138-2331
(816) 358-1122
(816) 358-7853
Mailing address
10800 E 77 TERRACE, RAYTOWN, MO 64138-2331
(816) 358-1122
(816) 358-7853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012042
MO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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