Provider Demographics
NPI:1700396298
Name:FOUST, LANA KAY (CPBMT, OPA-C, OTC)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:KAY
Last Name:FOUST
Suffix:
Gender:F
Credentials:CPBMT, OPA-C, OTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3429 HARRISON ST # 1N
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-2912
Mailing Address - Country:US
Mailing Address - Phone:913-909-8422
Mailing Address - Fax:
Practice Address - Street 1:3429 HARRISON ST # 1N
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-2912
Practice Address - Country:US
Practice Address - Phone:913-909-8422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO12-0204207XX0801X
MOLKFKCMO2016PBMT225500000X
MO24389-PT05246RP1900X
KS12-0204363AM0700X
KS12-204246ZX2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZX2200XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherOrthopedic Assistant
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical