Organization
SAMANTHA DURLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA DURLAND M.D. (OWNER)
(785) 393-5171
Entity
Organization
Contact information
Practice address
1112 W 6TH ST STE 210B, LAWRENCE, KS 66044-2215
(785) 393-5171
Mailing address
1112 W 6TH ST STE 210B, LAWRENCE, KS 66044-2215
(785) 393-5171
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
04-30061
KS
363LF0000X
Family Nurse Practitioner
46154
KS
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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