Individual
BERTHA DENISE LAKOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
Mailing address
929 N. ST FRANCIS, WICHITA, KS 67214-3821
(316) 268-5000
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
5445559081
KS
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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