NPI 1134981830

Tesia Lashae Allen

Practitioner Health Maintenance Organization Springfield, MO

Practice location

Address: 3660 S Cox Ave APT 1608, Springfield, MO 65807-6934
Phone: (417) 689-0992

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1134981830
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2024
Record last updated: 29 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.