Provider Information for 1669873865
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Ms. PATRICIA LORD LPC
Sex: Female
NPI: 1669873865
Last Updated: 2014-09-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1669873865 | ||||||||
| Enumeration Date | 2014-09-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4831 W 136TH ST LEAWOOD, KS 66224-5924 United States Phone: 913-620-3260 | Fax: | ||||||||
| Primary Practice Address | 4831 W 136TH ST LEAWOOD, KS 66224-5924 United States Phone: 913-620-3260 | Fax: | ||||||||
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