Individual
LAUREN PANKONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1516 BROADWAY AVE, GOODLAND, KS 67735-3051
(308) 383-1361
Mailing address
1516 BROADWAY AVE, GOODLAND, KS 67735-3051
(308) 383-1361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03640
KS
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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