Individual
LI Y LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MBA
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-4862
(816) 404-7716
Mailing address
18695 W 151ST ST, OLATHE, KS 66062-2738
(913) 782-3322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-43910
KS
Other
Enumeration date
04/06/2017
Last updated
04/21/2021
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