Individual
MR. LAWTON ALLEN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6670
(913) 588-3365
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-6670
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1376263121
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200878560D
—
KS
01
—
47411058
BCBS KC
KS
01
—
P02332005
RAILROAD
KS
Enumeration date
05/14/2012
Last updated
11/30/2020
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