Provider Demographics
NPI:1427212083
Name:LUCORE, ELIZABETH ELAINE (DO)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ELAINE
Last Name:LUCORE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-730-6430
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:1000 E HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:MONETT
Practice Address - State:MO
Practice Address - Zip Code:65708-8258
Practice Address - Country:US
Practice Address - Phone:417-354-1500
Practice Address - Fax:417-354-1505
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2022-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2009020187207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine