Individual
ASHLEY A VANZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
860 LYNN ST, LEBANON, MO 65536
(417) 334-8337
(417) 532-2067
Mailing address
860 LYNN ST, LEBANON, MO 65536-3810
(417) 334-8337
(417) 532-2067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2008
Last updated
08/21/2018
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