Long, Lawanna Rae

Long, Lawanna Rae is an individual health care provider with primary practice located at 2700 Clay Edwards Dr Ste 240 , North Kansas City MO 64116-3254. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Long, Lawanna Rae can be contacted via phone (816) 691-2021.

Contact Information

Primary practice address
2700 Clay Edwards Dr Ste 240 North Kansas City MO 64116-3254
Phone: (816) 691-2021
Fax: (816) 346-7690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11011073 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 151451 Missouri

Profile Details

NPI number 1972604940
LBN Legal business name Long, Lawanna Rae
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972604940 NPPES
Missouri MEDICAID 917296501

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