Organization
LAWRENCE USD 497
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HARRELL (DIVISON DIRECTOR)
(785) 832-5000
Entity
Organization
Contact information
Practice address
110 MCDONALD DR, LAWRENCE, KS 66044-1055
(785) 832-5008
(785) 832-5016
Mailing address
110 MCDONALD DR, LAWRENCE, KS 66044-1063
(785) 832-5000
(785) 832-5016
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212010A
—
KS
Enumeration date
07/22/2006
Last updated
07/14/2009
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