Provider Demographics
NPI:1740084250
Name:CHUN, LAUREN (MSN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:CHUN
Suffix:
Gender:
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 NW DONOVAN RD UNIT 7001
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-4574
Mailing Address - Country:US
Mailing Address - Phone:816-982-3691
Mailing Address - Fax:
Practice Address - Street 1:348 NW CAPITAL DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-4723
Practice Address - Country:US
Practice Address - Phone:816-982-3691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009018053163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse