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Individual

RICHARD B LIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9188
(316) 689-9140
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
14213
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002195
BCBS
KS
01
12149372
MULTIPLAN
KS
01
16902
COVENTRY
KS
01
200127
HPK
KS
01
537
PHS
KS
Enumeration date
06/30/2006
Last updated
07/13/2007
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