Organization
CENTER FOR CHANGE - LAWRENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY F. LAKIN D.O. (MEDICAL DIRECTOR/AUTHORIZED OFFCIAL)
(316) 640-0601
Entity
Organization
Contact information
Practice address
1910 HASKELL AVE A-9, LAWRENCE, KS 66046-3246
(316) 201-1234
(316) 201-1673
Mailing address
933 N TOPEKA ST, WITCHITA, KS 67214-3620
(316) 201-1234
(316) 201-1673
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/22/2020
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