Individual
DR. LOLA WINN O'RENICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1004 SW 22ND ST, BLUE SPRINGS, MO 64015-4752
(816) 456-4252
Mailing address
1004 SW 22ND ST, BLUE SPRINGS, MO 64015-4752
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01736
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22009014
BLUE CROSS BLUE SHIELD
MO
05
—
498502400
—
MO
05
—
758502405
—
MO
Enumeration date
08/23/2005
Last updated
11/17/2012
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