Individual
SONJA DEFOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
712 SHELBURN PL, LAWRENCE, KS 66046-4675
(785) 766-6477
Mailing address
712 SHELBURN PL, LAWRENCE, KS 66046-4675
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-54199-071
KS
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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