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Individual

DR. MARIA LOURDES ILAGAN DONATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5811 E TRUMAN RD, KANSAS CITY, MO 64126-2400
(816) 600-1816
(816) 221-2690
Mailing address
5811 E TRUMAN RD, KANSAS CITY, MO 64126-2400
(816) 600-1816
(816) 221-2690

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-32815
KS
2084N0400X
Neurology Physician
Primary
2008002407
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770609216
MO
05
200579970B
KS
Enumeration date
03/22/2007
Last updated
10/19/2010
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