Provider Demographics
NPI:1508956301
Name:MAGEE, LAWRENCE M (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:M
Last Name:MAGEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 N 1500 RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-9190
Mailing Address - Country:US
Mailing Address - Phone:785-864-7390
Mailing Address - Fax:
Practice Address - Street 1:ALLEN FIELDHOUSE
Practice Address - Street 2:1651 NAISMITH DR.
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66045-0001
Practice Address - Country:US
Practice Address - Phone:785-864-7360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18247207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine