Individual
LANA KAY FOUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPBMT, OPA-C, OTC
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
12-0204
MO
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
LKFKCMO2016PBMT
MO
246RP1900X
Phlebotomy Technician
24389-PT05
MO
246ZX2200X
Orthopedic Assistant
Primary
12-204
KS
363AM0700X
Medical Physician Assistant
12-0204
KS
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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