Individual
RANDY C LUZANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5701 W 119TH ST, SUITE 135, OVERLAND PARK, KS 66209-3721
(913) 451-1311
(913) 451-7511
Mailing address
5701 W 119TH ST, SUITE 410, OVERLAND PARK, KS 66209-3721
(913) 345-3650
(913) 345-3807
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-26419
KS
207Q00000X
Family Medicine Physician
MD 111595
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100453360D
—
KS
05
—
1558356543
—
MO
05
—
209192806
—
MO
Enumeration date
09/15/2005
Last updated
02/10/2022
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