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Organization

MT. OREAD FAMILY PRACTICE

Active
Parent organization
LAWRENCE MEMORIAL HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAWRENCE MEMORIAL HOSPITAL
Authorized official
KELLY SUZANNE JIMENEZ APRN (FAMILY NURSE PRACTITIONER)
(785) 842-5070
Entity
Organization

Contact information

Practice address
3510 CLINTON PKWY, LAWRENCE, KS 66047-2145
(785) 842-5070
(785) 505-5096
Mailing address
3510 CLINTON PKWY, LAWRENCE, KS 66047-2145
(785) 842-5070
(785) 505-5096

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
53-76993-042
KS

Other

Enumeration date
12/09/2015
Last updated
12/09/2015
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