Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 04-38932 | KS |
Y | 207VG0400X | Gynecologist | 04-38932 | KS |
NPI | 1255595534 |
---|---|
Provider Name | Dr. Lori Spoozak |
First Address | Kansas City, KS 66160 |
Second Address | Kansas City, KS 66160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 09/01/2017 |