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NPI Code Detail

MEDICARE: LANISE BABB MA, LMLP

MEDICARE: LANISE BABB MA, 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
1103TC0700XClinical PsychologistLMLP 2575KS

General Provider Information

NPI Number : 1326217621
Entity Type Code : Individual
Provider Name (Legal Business Name) : LANISE BABB MA, LMLP
Provider Business Mailing Address
First Line : PO BOX 5297
Second Line :
City : TOPEKA
State : KS
Zip : 66605-0297
Country : US
Telephone Number : 785-969-6395
Fax Number :
Provider Business Practice Location Address
First Line : 13351 S ARAPAHO DR
Second Line :
City : OLATHE
State : KS
Zip : 66062-1520
Country : US
Telephone Number : 913-353-3000
Fax Number : 913-489-5402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 11/01/2016

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Directions to “ LANISE BABB MA, LMLP” Practice Location

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