Provider Demographics
NPI:1245490341
Name:MAYANS, LAURA CHRISTINE (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CHRISTINE
Last Name:MAYANS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:CHRISTINE
Other - Last Name:KIDD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1010 N KANSAS ST
Mailing Address - Street 2:DEPARTMENT OF FAMILY & COMMUNITY MEDICINE
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3124
Mailing Address - Country:US
Mailing Address - Phone:316-293-2607
Mailing Address - Fax:316-293-2696
Practice Address - Street 1:1010 N KANSAS ST
Practice Address - Street 2:DEPARTMENT OF FAMILY & COMMUNITY MEDICINE
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3124
Practice Address - Country:US
Practice Address - Phone:316-293-2607
Practice Address - Fax:316-293-2696
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-36435207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine