MEDICARE: LILLIAN SAAVEDRA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1063079267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLIAN SAAVEDRA

Provider Business Mailing Address
First Line	:	4125 RAINBOW BLVD STE 100
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8502
Country	:	US
Telephone Number	:	913-945-7871
Fax Number	:

Provider Business Practice Location Address
First Line	:	4125 RAINBOW BLVD STE 100
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8502
Country	:	US
Telephone Number	:	913-945-7871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2019
Last Update Date	:	05/22/2019

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