Individual
STACEY M LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
133878
MO
363LN0000X
Neonatal Nurse Practitioner
14-71543-072
KS
363LN0000X
Neonatal Nurse Practitioner
45434
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133878
MO LICENSE
MO
01
—
14-71543-072
KS LICENSE
KS
01
—
45434
KS ARNP LICENSE
KS
Enumeration date
05/08/2006
Last updated
12/12/2025
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