Individual
DR. ROBERT K LIEURANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3105 MCCLELLAND BLVD, JOPLIN, MO 64804-1640
(417) 347-5400
(417) 781-3309
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-5400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0426908
KS
207X00000X
Orthopaedic Surgery Physician
Primary
112693
MO
207X00000X
Orthopaedic Surgery Physician
20886
OK
207X00000X
Orthopaedic Surgery Physician
J3342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208841809
—
MO
Enumeration date
06/13/2005
Last updated
02/04/2014
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