Healthcare Provider Details

I. General information

NPI: 1255748471
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: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 WOODFIELD DR
TONGANOXIE KS
66086-5443
US

IV. Provider business mailing address

410 WOODFIELD DR
TONGANOXIE KS
66086-5443
US

V. Phone/Fax

Practice location:
  • Phone: 785-505-5400
  • Fax: 785-505-5272
Mailing address:
  • Phone: 785-505-5400
  • Fax: 785-505-5272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

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