Organization
LEAVENWORTH COUNTY DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B LAMBERT MD (PRESIDENT)
(913) 441-5757
Entity
Organization
Contact information
Practice address
313 S 2ND ST, LEAVENWORTH, KS 66048-2803
(913) 651-4800
(913) 651-4884
Mailing address
10405 W 84TH TER, LENEXA, KS 66214-1641
(913) 492-2044
(913) 492-2451
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000974
BCBS
KS
Enumeration date
08/09/2005
Last updated
01/31/2008
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