Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO04106 | MO |
N | 222Z00000X | Podiatrist | CPO04106 | MO |
Y | 224P00000X | Prosthetist | CPO04106 | MO |
NPI | 1285271833 |
---|---|
Provider Name | Natalie Lenners |
First Address | Lees Summit, MO 64063-6160 |
Second Address | Kansas City, MO 64128-2226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2019 |
Last Update Date | 03/12/2019 |