Individual
LAURA FITZMAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3897
(816) 802-1114
Mailing address
700 W 111TH TER, KANSAS CITY, MO 64114-5107
(816) 943-4086
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
MDR2H42
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202583803
—
MO
Enumeration date
05/30/2006
Last updated
06/16/2011
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