Individual
LAUREN BETH DERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 302-8314
Mailing address
611 NE BURNING TREE ST, LEES SUMMIT, MO 64064-1362
(208) 651-1072
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019005710
MO
Other
Enumeration date
02/20/2019
Last updated
07/29/2021
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