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Individual

MRS. LORI BOYAJIAN-ONEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
6500 W 143RD ST, OVERLAND PARK, KS 66223-2174
(913) 815-1861
Mailing address
13003 WALMER ST, OVERLAND PARK, KS 66209-3616
(913) 915-9887

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DO9N50
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080135930
RAILROAD MEDICARE
MO
01
080135930
RAILROAD MEDICARE
05
1225077522
MO
05
200584170A
KS
05
200584170B
KS
05
243565322
MO
Enumeration date
06/05/2006
Last updated
09/10/2024
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