Organization
WICHITA EAST CLINIC
Active
Organization
WICHITA EAST CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA H LE M.D. (OWNER)
(316) 733-4747
Entity
Organization
Contact information
Practice address
1145 N ANDOVER RD, ANDOVER, KS 67002-8900
(316) 733-4747
(316) 733-5253
Mailing address
1145 N ANDOVER RD, ANDOVER, KS 67002-8900
(316) 733-4747
(316) 733-5253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/06/2007
Last updated
04/28/2008
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