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Individual

LAWRENCE J DRAHOTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11401 NALL AVE STE 216, LEAWOOD, KS 66211-1850
(913) 541-3240
(913) 492-0790
Mailing address
PO BOX 803968, KANSAS CITY, MO 64180-3968
(913) 541-3240
(913) 492-0790

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
420267
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100207250A
KS
Enumeration date
09/13/2006
Last updated
06/19/2019
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