| Lmh Wellcare | |
|
1130 W 4th St Ste 1015 Lawrence KS 66044-1328 | |
| (785) 505-3114 | |
| (785) 505-3126 |
| Full Name | Lmh Wellcare |
|---|---|
| Speciality | Preventive Medicine - Obesity Medicine |
| Location | 1130 W 4th St Ste 1015, Lawrence, Kansas |
| Authorized Official Name and Position | Amy C Miller (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 7855052988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmh Wellcare 1130 W 4th St Ste 1015 Lawrence KS 66044-1328 Ph: (785) 505-3114 | Lmh Wellcare 1130 W 4th St Ste 1015 Lawrence KS 66044-1328 Ph: (785) 505-3114 |
| NPI Number | 1104484773 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104484773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | () | Primary |
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