Individual
MRS. LARA LENEA KALJUMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1900 N AMIDON AVE STE 210, WICHITA, KS 67203-2137
(316) 260-4110
Mailing address
1900 N AMIDON AVE STE 210, WICHITA, KS 67203-2137
(316) 260-4110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77833
KS
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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