Individual
LAUREL A LAHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
504 N KANSAS AVE, STE B, LIBERAL, KS 67901-3346
(620) 604-5274
(844) 704-5288
Mailing address
504 N KANSAS AVE, STE B, LIBERAL, KS 67901-3346
(620) 275-9434
(620) 275-1448
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5376030
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201076940A
—
KS
Enumeration date
07/29/2013
Last updated
10/24/2016
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