Healthcare Provider Details

I. General information

NPI: 1962819102
Provider Name (Legal Business Name): LAWRENCE PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 05/14/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 ARKANSAS ST STE 105
LAWRENCE KS
66044-1485
US

IV. Provider business mailing address

325 MAINE STREET MSO LIBRARY
LAWRENCE KS
66044
US

V. Phone/Fax

Practice location:
  • Phone: 785-505-2800
  • Fax: 785-505-5207
Mailing address:
  • Phone: 785-505-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER BAHNMAIER
Title or Position: INSURANCE CREDENTIALING SPECIALIST
Credential:
Phone: 785-505-2988