# LIFE ENHANCEMENT MEDICINE AND REHABILITATION, P.A.

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

## Provider details

- **NPI number:** 1598188849
- **Authorized official:** DR. DAVID BULLOCK D.O. (PRESIDENT)
- **Authorized official phone:** (785) 856-5440

## Contact information

- **Practice address:** 3001 CARRINGTON LN, LAWRENCE, KS 66049-1732
- **Practice address phone:** (785) 856-5440
- **Practice address fax:** (785) 856-5441
- **Mailing address:** 3001 CARRINGTON LN, LAWRENCE, KS 66049-1732
- **Mailing address phone:** (785) 856-5440
- **Mailing address fax:** (785) 856-5441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 0531368 | KS | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0531368 | KS | Yes |
| 208VP0000X | Pain Medicine Physician | 0531368 | KS | — |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 01/22/2014