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Individual

LAUREN A AMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
222 MAIN ST, BLOOM, KS 67865-8511
(620) 885-4202
(620) 885-4805
Mailing address
PO BOX 127, MINNEOLA, KS 67865-0127
(620) 885-4202
(620) 885-4805

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1501625
KS

Other

Enumeration date
08/26/2013
Last updated
12/18/2018
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