Individual
JAMES LAWRENCE SALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6671
Mailing address
710 ROCK CREEK DR, LANSING, KS 66043-6273
(913) 684-6671
(913) 684-6128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1188
AZ
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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