Healthcare Provider Details

I. General information

NPI: 1700396298
Provider Name (Legal Business Name): LANA KAY FOUST CPBMT, OPA-C, OTC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2017
Last Update Date: 10/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3429 HARRISON ST # 1N
KANSAS CITY MO
64109-2912
US

IV. Provider business mailing address

3429 HARRISON ST # 1N
KANSAS CITY MO
64109-2912
US

V. Phone/Fax

Practice location:
  • Phone: 913-909-8422
  • Fax:
Mailing address:
  • Phone: 913-909-8422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number12-0204
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License NumberLKFKCMO2016PBMT
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number24389-PT05
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number12-0204
License Number StateKS
# 5
Primary TaxonomyY
Taxonomy Code246ZX2200X
TaxonomyOrthopedic Assistant
License Number12-204
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: