Individual
MS. JENNIFER L LANKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1235 E CHEROKEE ST, ANESTHESIA, SPRINGFIELD, MO 65804-2203
(417) 820-6863
(417) 820-6868
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2009028817
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598095770
—
MO
01
—
431560263
TRICARE WEST
MO
01
—
P00828636
RR MEDICARE
—
Enumeration date
01/11/2010
Last updated
07/16/2010
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