Provider Demographics
NPI:1528603719
Name:LAWRENCE PHYSICIANS LLC
Entity Type:Organization
Organization Name:LAWRENCE PHYSICIANS LLC
Other - Org Name:LAWRENCE BREAST SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP PHYSICIAN DIVISION
Authorized Official - Prefix:
Authorized Official - First Name:SHERYLE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:D'AMICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-505-2473
Mailing Address - Street 1:6265 ROCK CHALK DR STE 2400
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-5232
Mailing Address - Country:US
Mailing Address - Phone:785-505-3715
Mailing Address - Fax:785-505-5248
Practice Address - Street 1:6265 ROCK CHALK DR
Practice Address - Street 2:SUITE 2400
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049
Practice Address - Country:US
Practice Address - Phone:785-505-3715
Practice Address - Fax:785-505-5248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty