Healthcare Provider Details

I. General information

NPI: 1265695589
Provider Name (Legal Business Name): DANIEL LAWRENCE CHRISTIANSEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 HILLTOP RD STE 102
SHAWNEE KS
66226-3571
US

IV. Provider business mailing address

7111 W 151ST ST
OVERLAND PARK KS
66223-2231
US

V. Phone/Fax

Practice location:
  • Phone: 913-901-5001
  • Fax:
Mailing address:
  • Phone: 913-901-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberP5609
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number13825
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number13825
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: