Provider Demographics
NPI:1922284850
Name:DR. LILLIAN L. AVNER
Entity Type:Organization
Organization Name:DR. LILLIAN L. AVNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:AVNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-699-9385
Mailing Address - Street 1:4307 BLUE RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-2026
Mailing Address - Country:US
Mailing Address - Phone:816-699-9385
Mailing Address - Fax:
Practice Address - Street 1:4307 BLUE RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64133-2026
Practice Address - Country:US
Practice Address - Phone:816-699-9385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004731111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOF960000Medicare PIN