Organization
LEE R. BITTENBENDER, M. D., P. A.
Active
Other names
DERMATOLOGY CENTER OF LAWRENCE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE R BITTENBENDER M. D. (PRESIDENT)
(785) 842-7001
Entity
Organization
Contact information
Practice address
930 IOWA ST, LAWRENCE, KS 66044-1835
(785) 842-7001
(785) 842-5847
Mailing address
930 IOWA ST, LAWRENCE, KS 66044-1835
(785) 842-7001
(785) 842-5847
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
15200
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006529
BLUECROSS BLUESHIELD
KS
Enumeration date
10/04/2006
Last updated
08/22/2020
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