Basic Information
| Provider Information | |||||||||
| NPI: | 1508867946 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NASON LUI MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1516 SW 6TH AVE | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666061696 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852331747 | ||||||||
| FaxNumber: | 7852339008 | ||||||||
| Practice Location | |||||||||
| Address1: | 1516 SW 6TH AVE | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666061696 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852331747 | ||||||||
| FaxNumber: | 7852339008 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | LUI | ||||||||
| AuthorizedOfficialFirstName: | NASON | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7852331747 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | KS | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 110519 | 01 | KS | BC/BS | OTHER | CH0742 | 01 | PALMETTO GBA | OTHER |