Individual
MADELYN E LOREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4613 JARBOE ST, KANSAS CITY, MO 64112-1218
(816) 699-6367
Mailing address
4613 JARBOE ST, KANSAS CITY, MO 64112-1218
(816) 699-6367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085010221
IL
363A00000X
Physician Assistant
Primary
2024011261
MO
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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