Individual
DR. LAWRENCE L PELLETIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5500 E KELLOGG DR, PRIMARY CARE- ROBERT J DOLE VAMC, WICHITA, KS 67218-1607
(316) 634-3065
(316) 634-3065
Mailing address
5500 E KELLOGG DR, PRIMARY CARE- ROBERT J DOLE VAMC, WICHITA, KS 67218-1607
(316) 634-3065
(316) 634-3065
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
04-14654
KS
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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