Individual
LANCE ADKINS VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
600 NW PRYOR RD, LEES SUMMIT, MO 64081-1104
(816) 500-0487
Mailing address
600 NW PRYOR RD, LEES SUMMIT, MO 64081-1104
(816) 500-0487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011034116
MO
363LF0000X
Family Nurse Practitioner
141455
KS
Other
Enumeration date
08/17/2010
Last updated
12/23/2011
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