Individual
LAUREN MARIE VAVROCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 CARONDELET DR, STE. 224, KANSAS CITY, MO 64114-4859
(816) 943-0706
(816) 363-4393
Mailing address
6420 PROSPECT AVE, T101, KANSAS CITY, MO 64132-4147
(816) 363-4100
(816) 363-4393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/01/2010
Last updated
09/13/2012
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