Organization
LYNN ANN VAUGHAN, MD, LTD
Active
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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