Individual
MADISON CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1651 NAISMITH DR, LAWRENCE, KS 66045-4069
(785) 393-3342
Mailing address
1651 NAISMITH DR, LAWRENCE, KS 66045-4069
(785) 393-3342
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
24-01493
KS
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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