MS. Lea Ann Dalldorf, MT-BC

NPI #1912141037 in Paola, Kansas

Provider Information

NPI Number: 1912141037
Entity Type: Individual
Name: MS. Lea Ann Dalldorf, MT-BC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: MT-BC
Enumeration Date: Apr 21, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: 804 COWELL ST APT B
City: Paola
State: Kansas
ZIP Code: 66071-2000
Phone: (913) 731-5961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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