Individual
MR. LUCAS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2707 E 21ST ST N, WICHITA, KS 67214-2249
(316) 691-0249
(316) 691-9875
Mailing address
3252 N LONGFELLOW CT, WICHITA, KS 67226-1233
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
T-01497
KS
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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