Individual
ELIZABETH MARIE GUASTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1130 W 4TH ST, SUITE 2050, LAWRENCE, KS 66044-1328
(785) 841-3636
(785) 505-5210
Mailing address
1130 W 4TH ST, SUITE 2050, LAWRENCE, KS 66044-1328
(785) 841-3636
(785) 505-5210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0436590
KS
207R00000X
Internal Medicine Physician
4301087866
MI
207RC0000X
Cardiovascular Disease Physician
Primary
0436590
KS
390200000X
Student in an Organized Health Care Education/Training Program
4301087866
MI
Other
Enumeration date
03/26/2007
Last updated
12/01/2020
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