Organization
LAWRENCE OTOLARYNGOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTNEY KELLY (ADMINISTRATOR)
(785) 841-1107
Entity
Organization
Contact information
Practice address
1112 W 6TH ST, SUITE 216, LAWRENCE, KS 66044-2215
(785) 841-1107
(785) 841-1173
Mailing address
1112 W 6TH ST, SUITE 216, LAWRENCE, KS 66044-2215
(785) 841-1107
(785) 841-1173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215660A
—
KS
Enumeration date
08/14/2006
Last updated
04/23/2024
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