# LAWRENCE MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrence Specialty Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174843254
- **Authorized official:** MRS. AMY C MILLER CPC (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (785) 840-0505

## Contact information

- **Practice address:** 1402 S MAIN ST, OTTAWA, KS 66067-3529
- **Practice address phone:** (785) 242-1707
- **Practice address fax:** (785) 242-1709
- **Mailing address:** 1402 S MAIN ST, OTTAWA, KS 66067-3529
- **Mailing address phone:** (785) 242-1707
- **Mailing address fax:** (785) 242-1709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 06/11/2010