Organization
LIFE CENTER CLINIC
Active
Organization
LIFE CENTER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA JOANN TOON ARNP (OWNER)
(620) 804-2691
Entity
Organization
Contact information
Practice address
112 E 6TH ST, LARNED, KS 67550-3104
(620) 804-2691
Mailing address
112 E 6TH ST, LARNED, KS 67550-3104
(620) 804-2691
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
45341
KS
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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