Individual
LAUREN POULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 SW HUNTOON ST, TOPEKA, KS 66604-1231
(785) 861-8800
(785) 478-5991
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-40912
KS
208000000X
Pediatrics Physician
ML60470172
WA
Other
Enumeration date
03/25/2014
Last updated
11/22/2019
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