Individual
MR. SERVILLANO M LAPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
116 S CENTRAL AVE, MULVANE, KS 67110-1718
(316) 777-0977
(316) 777-9742
Mailing address
12007 W HARDTNER CT, WICHITA, KS 67235-1315
(316) 722-2295
(316) 722-2295
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11-01846
KS
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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