Individual
MELISSA RENEE LAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
1504 NE 96TH ST, LIBERTY, MO 64068-1348
(816) 415-2233
Mailing address
1504 NE 96TH ST, LIBERTY, MO 64068-1348
(816) 415-2233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011006215
MO
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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