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Organization
LAKIN ANESTHESIA
Active
Organization
LAKIN ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEY LYN KOONS (CEO)
(620) 355-7111
Entity
Organization
Contact information
Practice address
500 THORPE STREET, LAKIN, KS 67860
(620) 355-7111
Mailing address
500 E THORPE ST, LAKIN, KS 67860-9625
(620) 355-7111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0527816
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012256
BC BS
KS
05
—
100318320C
—
KS
Enumeration date
10/13/2006
Last updated
08/31/2026
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