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325 Maine St Lawrence KS 66044-1360 | |
| (785) 505-6299 | |
| (785) 505-5221 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 325 Maine St, Lawrence, Kansas |
| Authorized Official Name and Position | Heather Bahnmaier (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7855052988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
325 Maine St Lawrence KS 66044-1360 Ph: (785) 505-6299 | 325 Maine St Lawrence KS 66044-1360 Ph: (785) 505-6299 |
| NPI Number | 1316354640 |
|---|---|
| Provider Enumeration Date | 07/18/2014 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316354640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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