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1093198921 NPI number — LAUREN Q T OWENBY MD

NPI Number: 1093198921
Health Care Provider/Practitioner: LAUREN Q T OWENBY MD

Information about “1093198921” NPI (LAUREN Q T OWENBY MD) exists in 1093198921 in HTML format HTML  |  1093198921 in plain Text format TXT  |  1093198921 in PDF (Portable Document Format) PDF  |  1093198921 in an XML format XML  formats.

NPI Number : 1093198921 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093198921",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OWENBY",
    "FirstName": "LAUREN",
    "MiddleName": "Q T",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRAN",
    "OtherFirstName": "LAUEN",
    "OtherMiddleName": "Q",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1300 E BRADFORD PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "65804-4264",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-761-5000",
    "MailingAddressFaxNumber": "417-761-5111",
    "FirstLinePracticeLocationAddress": "1300 E BRADFORD PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65804-4264",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "417-761-5000",
    "PracticeLocationAddressFaxNumber": "417-761-5111",
    "EnumerationDate": "07/09/2015",
    "LastUpdateDate": "09/25/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "2020030636",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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