Individual
LARA POLLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, DIPL.OM, DOM
Contact information
Practice address
345 N RIVERVIEW ST, SUITE 400, WICHITA, KS 67203-4200
(316) 619-2777
Mailing address
16666 SW 154TH TER, ROSE HILL, KS 67133-8339
(316) 619-2777
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1034
NM
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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