Organization
LAKESIDE NEUROLOGY & RADIOLOGY OF MISSOURI, LLC
Active
Organization
LAKESIDE NEUROLOGY & RADIOLOGY OF MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G WINGER (DIRECTOR)
(866) 599-0596
Entity
Organization
Contact information
Practice address
2300 MAIN ST, 9TH FLOOR, KANSAS CITY, MO 64108
(866) 599-0596
Mailing address
2300 MAIN ST, 9TH FLOOR, KANSAS CITY, MO 64108
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
01/30/2008
Last updated
01/14/2010
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