NPI 1013314822

Family Centered Medicine

Organisation Primary Care Clinic/Center Lawrence, KS

Practice location

Address: 4930 Overland Drive, Lawrence, KS 66049-4132
Phone: (785) 856-0708
Mailing address: 15264 254th St, Lawrence, KS 66044-7122

Authorised official

Name: Stephanie Suber
Title: Owner
Phone: (913) 269-7297

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Kansas →

Registry record

NPI: 1013314822
Entity type: Organization
NPI issued: 21 Nov 2014
Record last updated: 24 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.