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“Athletic Trainer” (Lake Waukomis, MO)

Location: Lake Waukomis, MO
Taxonomy: Athletic Trainer.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1437030277 — BRADY MICHAEL LISEC
Practice Location Address:
373 NW NORTH SHORE DR
LAKE WAUKOMIS MO
64151-1455
Practice Phone: 816-868-1557

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