MEDICARE: DON OFFUT LMLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	0103	KS

General Provider Information

NPI Number	:	1326198573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON OFFUT LMLP

Provider Business Mailing Address
First Line	:	425 HOUSTON ST
Second Line	:	PO BOX 747
City	:	MANHATTAN
State	:	KS
Zip	:	66502-6169
Country	:	US
Telephone Number	:	785-587-4346
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 N MILL ST STE 5
Second Line	:
City	:	BELOIT
State	:	KS
Zip	:	67420-2353
Country	:	US
Telephone Number	:	785-738-5363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/08/2007

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Directions to “ DON OFFUT LMLP” Practice Location

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