MEDICARE: LAWRENCE PHYSICIANS LLC

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1902570021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	325 MAINE STREET
Second Line	:	MSO LIBRARY
City	:	LAWRENCE
State	:	KS
Zip	:	66044
Country	:	US
Telephone Number	:	785-505-2988
Fax Number	:	785-505-5228

Provider Business Practice Location Address
First Line	:	1220 BILTMORE DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-1995
Country	:	US
Telephone Number	:	785-505-2626
Fax Number	:	785-505-5333

Authorized Official
Title or Position	:	INSURANCE CREDENTIALING SPECIALIST
Name	:	HEATHER BAHNMAIER
Credential	:
Telephone Number	:	785-505-2988

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	05/22/2024

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Directions to “LAWRENCE PHYSICIANS LLC ” Practice Location

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