Organization
LAWRENCE FAMILY PRACTICE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD JOHANNING MD (OWNER)
(785) 841-6540
Entity
Organization
Contact information
Practice address
4951 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 832-2865
(785) 841-3129
Mailing address
4951 W 18TH ST, LAWRENCE, KS 66047
(785) 832-2865
(785) 841-3129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110160
BCBS
KS
01
—
27765017
BCBS OF KANSAS CITY
KS
Enumeration date
05/04/2007
Last updated
02/03/2023
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