Provider Demographics
NPI:1033841341
Name:CLICK, LAURAN NICOLE (DC)
Entity Type:Individual
Prefix:
First Name:LAURAN
Middle Name:NICOLE
Last Name:CLICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17775 W 106TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-3197
Mailing Address - Country:US
Mailing Address - Phone:913-890-7370
Mailing Address - Fax:913-890-7372
Practice Address - Street 1:17775 W 106TH ST STE 105
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3197
Practice Address - Country:US
Practice Address - Phone:913-890-7370
Practice Address - Fax:913-890-7372
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor