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Individual

MS. LAWANNA RAE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151451
MO
367500000X
Certified Registered Nurse Anesthetist
APRN11011073
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
917296501
MO
Enumeration date
09/25/2006
Last updated
01/03/2022
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