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NPI Code Detail

MEDICARE: LAUREN SISCEL PHARMD

MEDICARE:   LAUREN  SISCEL  PHARMD
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
1183500000XPharmacist2015026134MO
2183500000XPharmacist1-17041KS

General Provider Information

NPI Number : 1679947642
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN SISCEL PHARMD
Provider Business Mailing Address
First Line : 2935 WALNUT ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-3225
Country : US
Telephone Number : 816-769-5596
Fax Number :
Provider Business Practice Location Address
First Line : 7500 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-1816
Country : US
Telephone Number : 816-444-4179
Fax Number : 816-444-7159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2015
Last Update Date : 11/13/2015

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Directions to “ LAUREN SISCEL PHARMD” Practice Location

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