# LILLIAN R HARSTINE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134449937
- **Authorized official:** LILLIAN R HARSTINE MD (PRESIDENT)
- **Authorized official phone:** (316) 609-3030

## Contact information

- **Practice address:** 3223 N WEBB RD, S 3, WICHITA, KS 67226-8175
- **Practice address phone:** (316) 609-3030
- **Practice address fax:** (316) 609-3080
- **Mailing address:** 3223 N WEBB RD, S 3, WICHITA, KS 67226-8175
- **Mailing address phone:** (316) 609-3030
- **Mailing address fax:** (316) 609-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 04-17007 | KS | Yes |

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 08/18/2010