Individual
LARA LYNN PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9001 STATE LINE RD STE 300, KANSAS CITY, MO 64114-3212
(816) 363-2600
(816) 444-1928
Mailing address
4404 NW PAWNEE DR, RIVERSIDE, MO 64150-9685
(816) 510-9312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14-79706-092
KS
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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