is a Plastic Surgery in Lawrence, Kansas. practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for is 1093865362. The last update date is .
's current location address is 1112 W 6th St, Lawrence, Kansas. You can contact this provider via phone number 7858437677 and fax number 7858431657. The mailing address for is 1112 W 6th St, Lawrence, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1112 W 6th St, Lawrence, Kansas |
| Phone Number | 7858437677 |
| Fax Number | 7858431657 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1093865362 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1112 W 6th St |
|---|---|
| City | Lawrence |
| State | Kansas (KS) |
| Post Code | 660442215 |
| Phone Number | 7858437677 |
| Fax Number | 7858431657 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 04-25277 |
|
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22872019 | KS | BCBS OF KANSAS CITY | |
| 16889 | KS | BCBS |
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