Lacosta Gaines
Nurse Practitioner - Family Medicine
1607 South Baltimore
Kirksville
, Missouri 63501
Lacosta Gaines
Nurse Practitioner - Family Medicine
1607 South Baltimore
Kirksville
, Missouri 63501
(660) 627-3363
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Lacosta Gaines
- 800 W Jefferson St
- Kirksville, MO
- Zip : 63501-1443
- Phone : (660) 627-3363
Second Address
- Lacosta Gaines
- 1607 South Baltimore
- Kirksville, MO
- Zip : 63501
- Phone : (660) 785-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2015035184 | MO |
National Provider Identifier
| NPI | 1003287848 |
|---|---|
| Provider Name | Lacosta Gaines |
| First Address | Kirksville, MO 63501-1443 |
| Second Address | Kirksville, MO 63501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2015 |
| Last Update Date | 19/10/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.