Organization
LAWRENCE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEISA WRIGHT (BUSINESS OFFICE MANAGER)
(785) 832-0588
Entity
Organization
Contact information
Practice address
6265 ROCK CHALK DR, STE 2100, LAWRENCE, KS 66049-5232
(785) 832-0588
(785) 832-2029
Mailing address
6265 ROCK CHALK DR, SUITE 2100, LAWRENCE, KS 66049-5232
(785) 832-0588
(785) 832-2029
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S023002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100372910A
—
KS
01
—
130326
BCBS KS PROV. #
KS
01
—
144083900
US DEPT OF LABOR
KS
01
—
1511
FEDERAL BCBS PROV. #
KS
01
—
390320
FIRSTGUARD PROV. #
KS
01
—
90932017
BCBS KC PROV. #
KS
Enumeration date
05/31/2005
Last updated
10/05/2020
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