Healthcare Provider Details

I. General information

NPI: 1700206448
Provider Name (Legal Business Name): PATRICIA COWAN LMLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 NEW HAMPSHIRE ST STE C
LAWRENCE KS
66044-2774
US

IV. Provider business mailing address

805 NEW HAMPSHIRE ST STE C
LAWRENCE KS
66044-2774
US

V. Phone/Fax

Practice location:
  • Phone: 785-838-5971
  • Fax: 785-212-4015
Mailing address:
  • Phone: 785-212-4015
  • Fax: 785-212-4015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1388
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: