Provider Demographics
NPI:1891247326
Name:LAWRENCE PHYSICIANS LLC
Entity Type:Organization
Organization Name:LAWRENCE PHYSICIANS LLC
Other - Org Name:PLASTIC SURGERY SPECIALISTS OF LAWRENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALISTS
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:785-505-2988
Mailing Address - Street 1:1130 W 4TH ST
Mailing Address - Street 2:SUITE 3202
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1328
Mailing Address - Country:US
Mailing Address - Phone:785-505-5875
Mailing Address - Fax:785-505-3322
Practice Address - Street 1:1130 W 4TH ST STE 3202
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1328
Practice Address - Country:US
Practice Address - Phone:785-505-5875
Practice Address - Fax:785-505-3322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty