Organization
LAWRENCE R. GASTON, JR DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE RANDOLPH GASTON JR. DPM (OWNER)
(785) 843-0973
Entity
Organization
Contact information
Practice address
5100 BOB BILLINGS PARKWAY, SUITE 100, LAWRENCE, KS 66049-4094
(785) 843-0973
(785) 843-1839
Mailing address
5100 BOB BILLINGS PARKWAY, SUITE 100, LAWRENCE, KS 66049-4094
(785) 843-0973
(785) 843-1839
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1200197
KS
213ES0103X
Foot & Ankle Surgery Podiatrist
1200197
KS
Other
Enumeration date
09/25/2006
Last updated
03/14/2012
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