Individual
CRYSTAL D LAGALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2700 CLAY EDWARDS DR, STE 400, NORTH KANSAS CITY, MO 64116
(816) 421-4240
(816) 421-5015
Mailing address
2700 CLAY EDWARDS DR., STE 400, NORTH KANSAS CITY, MO 64116
(816) 421-4240
(816) 421-5015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014011936
MO
208D00000X
General Practice Physician
0
OK
Other
Enumeration date
04/05/2010
Last updated
06/30/2015
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