NPI 1629075049

General Surgery PA

Organisation Surgery Physician Lawrence, KS

Practice location

Address: 346 Maine St, Lawrence, KS 66044-1359
Phone: (785) 842-6644
Fax: (785) 842-0348

Authorised official

Name: Debra M Rollo
Title: Manager
Phone: (785) 842-6644

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Kansas →

Registry record

NPI: 1629075049
Entity type: Organization
NPI issued: 30 Jun 2005
Record last updated: 21 Jul 2022

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.