MEDICARE: LIDA N OSBERN M.D.

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	207RP1001X	Pulmonary Disease Physician	04-17714	KS

General Provider Information

NPI Number	:	1427153006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIDA N OSBERN M.D.

Provider Business Mailing Address
First Line	:	325 MAINE ST
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66044-1360
Country	:	US
Telephone Number	:	785-505-2988
Fax Number	:	785-505-5228

Provider Business Practice Location Address
First Line	:	1130 W 4TH ST STE 3200
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66044-1346
Country	:	US
Telephone Number	:	785-505-3205
Fax Number	:	785-505-5261

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	05/26/2026

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Directions to “ LIDA N OSBERN M.D.” Practice Location

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