Individual
DIANA KATHLEEN LACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57950 LEAVENWORTH ST BLDG 250, MCCONNELL AFB, KS 67221-3505
(316) 759-6001
Mailing address
2944 S FAIRCHILD DR, WICHITA, KS 67210-1773
(469) 655-9313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-143237
AL
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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