Provider Demographics
NPI:1437227519
Name:ORR, MARIBETH LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:MARIBETH
Middle Name:LYNN
Last Name:ORR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:MARIBETH
Other - Middle Name:LYNN
Other - Last Name:MALBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1811 WAKARUSA DR. SUITE 101
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047
Mailing Address - Country:US
Mailing Address - Phone:785-424-4441
Mailing Address - Fax:913-624-3848
Practice Address - Street 1:1811 WAKARUSA DR. SUITE 101
Practice Address - Street 2:SUITE 101
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047
Practice Address - Country:US
Practice Address - Phone:785-424-4441
Practice Address - Fax:913-624-3848
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0531270207Q00000X
KS05-31270207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200347190AMedicaid
KS200347190AMedicaid
C48E197Medicare ID - Type Unspecified