Individual
MR. LAWRENCE R. RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-0690
Mailing address
PO BOX 414975, KANSAS CITY, MO 64141-4975
(816) 455-0661
(816) 455-3905
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0528426
KS
2085R0202X
Diagnostic Radiology Physician
Primary
106010
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100313580A
—
KS
01
—
2230500
AETNA
MO
01
—
24752079
BCBS OF KANSAS CITY
MO
05
—
249765702
—
MO
01
—
402884
BCBS OF KANSAS
KS
Enumeration date
01/17/2006
Last updated
12/21/2020
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