Individual
LAUREL A BONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
224 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 525-4778
(816) 525-5761
Mailing address
224 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 525-4778
(816) 525-5761
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
513
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11293033
BCBS PROVIDER NUMBER
MO
05
—
302393608
—
MO
05
—
302393616
—
MO
01
—
480010965
RAILROAD MEDICARE
MO
Enumeration date
10/06/2006
Last updated
02/13/2012
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