Provider Demographics
NPI:1124472451
Name:CARR, LIANNE (DVM)
Entity type:Individual
Prefix:
First Name:LIANNE
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:LIANNE
Other - Middle Name:
Other - Last Name:VIRENIUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DVM
Mailing Address - Street 1:5200 NE VIVION RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-2941
Mailing Address - Country:US
Mailing Address - Phone:816-453-7272
Mailing Address - Fax:816-453-1019
Practice Address - Street 1:5200 NE VIVION RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64119-2941
Practice Address - Country:US
Practice Address - Phone:816-453-7272
Practice Address - Fax:816-453-1019
Is Sole Proprietor?:No
Enumeration Date:2016-04-23
Last Update Date:2016-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005028836174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist