Individual
LISA DARLENE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3515 BROADWAY ST, KANSAS CITY, MO 64111-2537
(816) 777-2787
Mailing address
8105 ACUFF LN, LENEXA, KS 66215-4136
(913) 310-0026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2001019046
MO
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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