MEDICARE: LINDA M LAWRENCE

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	207W00000X	Ophthalmology Physician	0421331	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477657815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA M LAWRENCE

Provider Business Mailing Address
First Line	:	1410 E IRON AVE STE 6
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-3285
Country	:	US
Telephone Number	:	785-823-1600
Fax Number	:	785-823-8953

Provider Business Practice Location Address
First Line	:	1410 E IRON AVE STE 6
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-3285
Country	:	US
Telephone Number	:	785-823-1600
Fax Number	:	785-823-8953

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	01/20/2013

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Directions to “ LINDA M LAWRENCE ” Practice Location

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