Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2015016123 | MO |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 2015016123 | MO |
NPI | 1225390370 |
---|---|
Provider Name | Dr. Lauren Elizabeth Amos |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2012 |
Last Update Date | 10/08/2018 |