Individual
DR. LAWRENCE R GASTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2250 LAKE POINTE DR UNIT 802, LAWRENCE, KS 66049-9201
(785) 766-2322
Mailing address
4000 W 6TH STREET SUITE B # 224, LAWRENCE, KS 66049
(785) 766-2322
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1200197
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006728
BCBS KS
KS
01
—
0210710001
CIGNA MEDICARE
KS
01
—
20766017
BCBS KC
KS
01
—
480002560
RAILROAD MEDICARE
KS
Enumeration date
07/19/2005
Last updated
01/10/2022
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