Lawrence Specialty Care | |
1402 S Main St Ottawa KS 66067-3529 | |
(785) 242-1707 | |
(785) 242-1709 |
Full Name | Lawrence Specialty Care |
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Speciality | General Practice |
Location | 1402 S Main St, Ottawa, Kansas |
Authorized Official Name and Position | Amy C Miller (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7858400505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lawrence Specialty Care 1402 S Main St Ottawa KS 66067-3529 Ph: (785) 242-1707 | Lawrence Specialty Care 1402 S Main St Ottawa KS 66067-3529 Ph: (785) 242-1707 |
NPI Number | 1174843254 |
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Provider Enumeration Date | 06/11/2010 |
Last Update Date | 06/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174843254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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