Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 110334 | MO |
N | 207RC0000X | Internist - Cardiovascular Disease | 04-20571 | KS |
NPI | 1881642270 |
---|---|
Provider Name | Stephanie L Lawhorn |
First Address | Kansas City, MO 64131 |
Second Address | Kansas City, MO 64111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 28/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E65074 | (02) |