Provider Demographics
NPI:1184662595
Name:LAWRENCE W LAY DO PA
Entity Type:Organization
Organization Name:LAWRENCE W LAY DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:LAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:316-942-1321
Mailing Address - Street 1:3343 W CENTRAL
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203
Mailing Address - Country:US
Mailing Address - Phone:316-942-1321
Mailing Address - Fax:316-942-3297
Practice Address - Street 1:3343 W CENTRAL
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203
Practice Address - Country:US
Practice Address - Phone:316-942-1321
Practice Address - Fax:316-942-3297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C60016Medicare UPIN
KS009676Medicare ID - Type Unspecified