Individual
DR. LILLARD G ASHLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 SE BLUE PKWY, SUITE 210, LEES SUMMIT, MO 64063-1041
(816) 607-2950
(816) 607-2990
Mailing address
2000 SE BLUE PKWY, SUITE 210, LEES SUMMIT, MO 64063-1041
(816) 607-2950
(816) 607-2990
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0416588
KS
207RC0000X
Cardiovascular Disease Physician
Primary
R6850
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004001258
AETNA PPO
—
01
—
060051904
MEDICARE RAILROAD
—
05
—
1457305062
—
MO
01
—
431092652A027
CHAMPUS TRICARE
—
01
—
5629254
BLUE SHIELD OF KC HMO
—
Enumeration date
05/19/2006
Last updated
06/29/2016
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