MEDICARE: LAUREN E IMEL APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	77393	KS

General Provider Information

NPI Number	:	1649719428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN E IMEL APRN

Provider Business Mailing Address
First Line	:	1200 SCHWEGLER DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66045-7558
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 SCHWEGLER DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66045-7558
Country	:	US
Telephone Number	:	785-864-9500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	02/14/2017

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Directions to “ LAUREN E IMEL APRN” Practice Location

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