Healthcare Provider Details

I. General information

NPI: 1821923467
Provider Name (Legal Business Name): JONI LEE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E 8TH ST STE B
LAWRENCE KS
66044-2771
US

IV. Provider business mailing address

211 E 8TH ST STE B
LAWRENCE KS
66044-2771
US

V. Phone/Fax

Practice location:
  • Phone: 785-992-4034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: