| Lori A Proe, DO | |
| 
					One Hospital Dr, Columbia, MO 65212-0001  | |
| (573) 882-3014 | |
| (573) 884-4612 | 
| Full Name | Lori A Proe | 
|---|---|
| Gender | Female | 
| Speciality | Pathology - Forensic Pathology | 
| Location | One Hospital Dr, Columbia, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487852042 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZF0201X | Pathology - Forensic Pathology | A-1680-12 (New Mexico) | Secondary | 
| 207ZF0201X | Pathology - Forensic Pathology | 2022039936 (Missouri) | Primary | 
| Entity Name | The Curators Of The University Of Missouri | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lori A Proe, DO Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300  | Lori A Proe, DO One Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-3014  | 
Thomas Bart Shaw, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Charles W Caldwell, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1013 Marcassin Dr, Columbia, MO 65201 Phone: 573-442-8442  | |
Paul J Mcgowan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Fnu Sonam, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-3014  | |
Lester J. Layfield, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1201 Fax: 573-884-4612  | |
Grant Van Dyke Darkow, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Anna Venneman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  |