Provider Demographics
NPI:1851722052
Name:NATURAL HORMONE CLINIC KANSAS LLC
Entity Type:Organization
Organization Name:NATURAL HORMONE CLINIC KANSAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-393-7525
Mailing Address - Street 1:14921 W 82ND TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-5804
Mailing Address - Country:US
Mailing Address - Phone:785-393-7525
Mailing Address - Fax:785-727-4739
Practice Address - Street 1:1201 WAKARUSA DR
Practice Address - Street 2:SUITE A3
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4722
Practice Address - Country:US
Practice Address - Phone:785-393-7525
Practice Address - Fax:785-727-4739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty