Individual
DR. RANDALL LAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9828 E SHANNON WOODS CIR # 100, WICHITA, KS 67226-4100
(316) 631-1600
(316) 631-1639
Mailing address
9828 E SHANNON WOODS CIR # 100, WICHITA, KS 67226-4100
(316) 631-1600
(316) 631-1617
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-27074
KS
207XX0801X
Orthopaedic Trauma Physician
Primary
04-27074
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041674507
—
TX
05
—
047164506
—
TX
05
—
100199000A
—
OK
05
—
100290930A
—
KS
01
—
110705040
MEDICARE
KS
01
—
1144258443
BCBS
KS
01
—
8BR084
BCBS
TX
01
—
8S4335
BCBS
TX
05
—
9000171587
—
CO
Enumeration date
06/28/2006
Last updated
03/17/2026
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