Individual
TIGAN LAVONNE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
3901 RAINBOW BLVD # MS 2018, KANSAS CITY, KS 66160-8500
(913) 588-5636
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
53-82439-011
KS
Other
Enumeration date
07/19/2023
Last updated
05/12/2025
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