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Jason Lauderdale, DO
Student in an Organized Health Care Education/Training Program in Joplin, Missouri
NPI 1144896051

Jason Lauderdale is a Student in an Organized Health Care Education/Training Program based in Joplin, MO. Jason Lauderdale practices in Joplin, MO and has the professional credentials of DO. The NPI Number for Jason Lauderdale is 1144896051 and holds a License No. (Missouri).

The current practice location address for Jason Lauderdale is 1102 W 32Nd St, Joplin, MO and can be reached out via phone at 417-347-1111.

Location: 1102 W 32Nd St, Joplin, MO, 64804-5648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144896051
Provider Name
Jason Lauderdale
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1102 W 32Nd St, Joplin, MO, 64804-5648
Phone Number
417-347-1111
Fax Number
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1102 W 32Nd St
City
Joplin
State
Missouri
Zip
64804-3503
Phone Number
417-347-1111
Fax Number
person
Provider Business Mailing Address Details
Address
1102 W 32Nd St
City
Joplin
State
Missouri
Zip
64804-3503
Phone Number
417-347-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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