Individual
JASON C LACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(181) 623-4300
(816) 302-9939
Mailing address
2501 TROOST AVE UNIT 419, KANSAS CITY, MO 64108-3494
(406) 529-6702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023023942
MO
208000000X
Pediatrics Physician
94-11562
KS
Other
Enumeration date
04/03/2023
Last updated
06/26/2023
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