Organization
OZ LC
Active
Other names
Oz LC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANA WILKEY (OWNER)
(620) 450-7488
Entity
Organization
Contact information
Practice address
10630B METCALF AVE, OVERLAND PARK, KS 66212-1816
(913) 871-8785
(913) 652-6868
Mailing address
10630B METCALF AVE, OVERLAND PARK, KS 66212-1816
(913) 871-8785
(913) 652-6868
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
0126935
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48057016
BCBS OF KC
KS
Enumeration date
01/18/2013
Last updated
03/27/2013
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