Individual
LYNN R FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 N KANSAS ST STE 3001D, WICHITA, KS 67214-3124
(316) 293-2607
(316) 293-2696
Mailing address
1010 N KANSAS ST STE 3001D, WICHITA, KS 67214-3124
(316) 293-2607
(316) 293-2696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-30818
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105275
BC/BS INDIVIDUAL
KS
01
—
111215
BC/BS GROUP
KS
05
—
200269400C
—
KS
01
—
460593
CHILDREN'S MERCY FAMILY H
KS
Enumeration date
08/09/2005
Last updated
01/27/2022
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