Individual
LAURIE J METHVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
209 S PINE ST, NEWTON, KS 67114-3745
(316) 283-6103
(316) 283-0453
Mailing address
209 S PINE ST, NEWTON, KS 67114-3745
(316) 283-6103
(316) 283-0453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
KS44908
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000161953
BLUE CROSS BLUE SHIELD
KS
Enumeration date
01/25/2006
Last updated
02/08/2008
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