| NPI | 1912670860 |
|---|---|
| Doing Business As | LSR7 - LEE'S SUMMIT |
| Entity Type | Organization |
| Authorized Contact | CATHERINE MOORE WOMACK President 479-806-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |