Organization
LAKESIDE NEUROLOGY AND RADIOLOGY OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WINGER (MANAGER)
(800) 416-1767
Entity
Organization
Contact information
Practice address
2300 MAIN ST, 9TH FLOOR, KANSAS CITY, MO 64108-2416
(800) 416-1767
Mailing address
2300 MAIN STREET, 9TH FLOOR, KANSAS CITY, MO 64108
(800) 416-1767
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
09/02/2014
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