Individual
LARA NICHOLE FELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, BOX #356410, SEATTLE, WA 98195-6410
(206) 543-3687
Mailing address
8080 E CENTRAL AVE, STE 250, WICHITA, KS 67206-2367
(316) 686-7327
(316) 686-1557
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0439302
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2012
Last updated
08/11/2016
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