Organization
SUNFLOWER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA E LUCERO MD (MEMBER MANAGER)
(620) 624-7400
Entity
Organization
Contact information
Practice address
2132 N. KANSAS AVE, STE B, LIBERAL, KS 67901
(620) 624-7400
(620) 624-7444
Mailing address
2132 N. KANSAS AVE.,, STE B, LIBERAL, KS 67901
(620) 624-7400
(620) 624-7444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-28884
KS
208000000X
Pediatrics Physician
0413614
KS
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
Update your record
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