Organization
LYNN ANN VAUGHAN, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN ANN VAUGHAN M.D. (OWNER)
(913) 682-8900
Entity
Organization
Contact information
Practice address
920 6TH AVE, LEAVENWORTH, KS 66048-3225
(913) 682-8900
(913) 651-2007
Mailing address
989 PEBBLE BEACH DR, LANSING, KS 66043-1232
(913) 682-8900
(913) 651-2007
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27598
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110783
BLUE CROSS BLUE SHIELD
KS
Enumeration date
08/29/2007
Last updated
01/16/2008
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