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Organization
LAWRENCE ANAESTHESIA PA
Active
Organization
LAWRENCE ANAESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D LANGE MD (PRESIDENT)
(785) 842-7026
Entity
Organization
Contact information
Practice address
613 N 2ND ST, LAWRENCE, KS 66044-1407
(785) 842-7026
(785) 842-7088
Mailing address
613 N 2ND ST, LAWRENCE, KS 66044-1407
(785) 842-7026
(785) 842-7088
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/17/2006
Last updated
07/11/2019
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