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NPI Code Detail

MEDICARE: DR. ANDREW LAURONILLA MD

MEDICARE: DR. ANDREW LAURONILLA MD
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
12084P0800XPsychiatry Physician04-27867KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12068914OTHERKSCIGNA
29602OTHERKSPREFERRED HEALTH SYSTEMS
3104024OTHERKSBLUE CROSS

General Provider Information

NPI Number : 1942242672
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW LAURONILLA MD
Provider Business Mailing Address
First Line : 6000 LAMAR AVE STE 130
Second Line :
City : MISSION
State : KS
Zip : 66202-3234
Country : US
Telephone Number : 913-826-4200
Fax Number :
Provider Business Practice Location Address
First Line : 1125 W SPRUCE ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-3123
Country : US
Telephone Number : 913-826-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 04/01/2022

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Directions to “ DR. ANDREW LAURONILLA MD” Practice Location

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