Individual
STACEY DINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 20TH ST STE 200, EUDORA, KS 66025-7801
(785) 505-2345
(785) 505-5271
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 66044
(785) 505-2988
(785) 505-5228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45377
KS
Other
Enumeration date
04/29/2008
Last updated
10/27/2023
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