Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 104612 | MO |
NPI | 1063562734 |
---|---|
Provider Name | Laura E Al-Sayed |
First Address | Kansas City, MO 64180-1143 |
Second Address | Cape Girardeau, MO 63703-5049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 28/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100229 | BCBS (01) | |
165175001 | (05) | AR |
207910720 | (05) | MO |
254585 | HEALTHLINK (01) | |
7100013300 | (05) | KY |
F90827 | (02) | MO |