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Organization

ENDOSCOPY CENTER OF LAWRENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY ANN ICE (ADMINISTRATOR)
(785) 843-5160
Entity
Organization

Contact information

Practice address
4525 W 6TH ST STE 100, LAWRENCE, KS 66049-7700
(785) 843-5160
Mailing address
4525 W 6TH ST STE 100, LAWRENCE, KS 66049-7700

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S023003
KS

Other

Enumeration date
08/29/2006
Last updated
10/30/2007
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  • EDI platform