Lara Kang, AGACNP
Lara Kang, AGACNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Licensed in Missouri.
- Years since qualifying
- 7
- Licensed in
- MO
- In the registry since
- 2020
Practice location Address checks out
12700 Southfork Rd Ste 280Saint Louis, MO 63128-3287
Phone: (314) 892-6565
Fax: (314) 892-4828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 2020018091 (MO) |
|---|
Record details
| NPI number | 1841897394 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP |
| Sole proprietor | No |
| NPI enumerated | October 7, 2020 |
| Last updated in NPPES | June 2, 2026 |
| Certification date | June 2, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
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