Individual
MRS. LAVONNE M BURROWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC M-SCNS
Contact information
Practice address
101 SKAGGS RD STE 302, BRANSON, MO 65616-2062
(417) 334-8288
(417) 334-6966
Mailing address
5342 S HOLLAND AVE, SPRINGFIELD, MO 65810-2628
(417) 894-6592
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
076456
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000083045
MEDICARE PTAN
MO
01
—
126510
BLUE CROSS BLUE SHIELD
MO
05
—
1942397310
—
MO
01
—
500024671
RAILROAD MEDICARE
—
01
—
569325
HEALTHLINK
—
Enumeration date
10/06/2006
Last updated
10/17/2019
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