| Lakemary Center, Inc. | |
|
100 Lakemary Dr Paola KS 66071-1855 | |
| (913) 557-4000 | |
| (913) 557-4910 |
| Full Name | Lakemary Center, Inc. |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 100 Lakemary Dr, Paola, Kansas |
| Authorized Official Name and Position | Shawn Kelsey (DIRECTOR OF FISCAL SERVICES) |
| Authorized Official Contact | 9135574000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakemary Center, Inc. 100 Lakemary Dr Paola KS 66071-1855 Ph: (913) 557-4000 | Lakemary Center, Inc. 100 Lakemary Dr Paola KS 66071-1855 Ph: (913) 557-4000 |
| NPI Number | 1912972894 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912972894 | NPI | - | NPPES |
| 100102750C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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