Basic Information
| Provider Information | |||||||||
| NPI: | 1902570021 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LAWRENCE PHYSICIANS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 325 MAINE STREET | ||||||||
| Address2: | MSO LIBRARY | ||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855052988 | ||||||||
| FaxNumber: | 7855055228 | ||||||||
| Practice Location | |||||||||
| Address1: | 1220 BILTMORE DR | ||||||||
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| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660491995 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855052626 | ||||||||
| FaxNumber: | 7855055333 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2021 | ||||||||
| LastUpdateDate: | 08/03/2021 | ||||||||
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| AuthorizedOfficialLastName: | MILLER | ||||||||
| AuthorizedOfficialFirstName: | AMY | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | CODING OPERATIONS MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7855052988 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 07/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.