Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 04-28780 | KS |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 2000152090 | MO |
NPI | 1083633127 |
---|---|
Provider Name | Dr. Maria Charisse Lachica |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 04/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100381760G | (05) | KS |
1266947 | CIGNA (01) | MO |
205156508 | (05) | MO |
29813041 | BCBS OF KC (INCLUDES PHP) (01) | MO |
396330 | FIRST GUARD (01) | MO |
62212 | COVENTRY (01) | MO |
7102649 | AETNA (01) | MO |
H85419 | (02) | MO |