Individual
LAWRENCE P SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W CENTRAL AVE, SUITE 108, EL DORADO, KS 67042-2184
(316) 321-8757
(316) 321-8759
Mailing address
700 W CENTRAL AVE, SUITE 108, EL DORADO, KS 67042-2184
(316) 321-8757
(316) 321-8759
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27463
AZ
207X00000X
Orthopaedic Surgery Physician
29078
OK
207X00000X
Orthopaedic Surgery Physician
Primary
KS04-35007
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012780H
—
KS
05
—
200458780A
—
OK
05
—
487084.
—
AZ
Enumeration date
08/16/2005
Last updated
10/04/2013
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