Individual
LACY RAE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
12163 S ROUNDTREE ST, OLATHE, KS 66061-3144
(541) 554-6058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5377908092
KS
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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