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Individual

LOTTIE KAY GLEASON GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3700
Mailing address
PO BOX 913041, DENVER, CO 80291-3041
(800) 953-0104
(303) 765-6640

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77003-102
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201127010B
KS
05
9000167019
CO
Enumeration date
11/15/2015
Last updated
10/07/2019
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