Provider Demographics
NPI:1831674522
Name:LAWRENCE PHYSICIANS LLC
Entity Type:Organization
Organization Name:LAWRENCE PHYSICIANS LLC
Other - Org Name:PALLIATIVE SUPPORT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN DIVISION BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:785-505-2988
Mailing Address - Street 1:330 ARKANSAS ST STE 210
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1394
Mailing Address - Country:US
Mailing Address - Phone:785-505-5623
Mailing Address - Fax:785-505-5324
Practice Address - Street 1:330 ARKANSAS ST STE 210
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1394
Practice Address - Country:US
Practice Address - Phone:785-505-5623
Practice Address - Fax:785-505-5324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty