Individual
MS. LAURISA L WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 N SAINT FRANCIS ST, STE 130, WICHITA, KS 67214-2865
(316) 264-3505
(316) 264-0908
Mailing address
1100 N ST FRANCIS ST STE 130, WICHITA, KS 67214-2865
(316) 264-3505
(316) 264-0908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500743
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100408970B
—
KS
Enumeration date
06/17/2005
Last updated
03/17/2026
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