Laurisa L Washburn PA-C

NPI 1750386447 - Physician Assistant - 363A00000X

NPI Details
NPI 1750386447
Gender Female
Enumeration Date 06/17/2005
Last Updated 02/10/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1100 N SAINT FRANCIS ST
STE 130
WICHITA KS, 67214-2865, US
Phone (316) 264-3505
Fax (316) 264-0908
Business Location
1100 N SAINT FRANCIS ST
STE 130
WICHITA KS, 67214-2865, US
Phone (316) 264-3505
Fax (316) 264-0908
Toxanomy
Taxonomy Code 363A00000X
License State Kansas
License Number 1500743
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According to our database, Ms. Laurisa L Washburn PA-C NPI is 1750386447, taxonomy code is 363A00000X and license number is 1500743, license state is located at Kansas. Laurisa L Washburn PA-C physically located at 1100 N Saint Francis St, Wichita KS, 67214-2865. NPI Number Laurisa L Washburn PA-C has the Individual type.

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1750386447 NPI number is provided on an as is basis without warranty of any kind. 1750386447 is maintained by the National Plan & Provider Enumeration System. The contents of Laurisa L Washburn PA-C are for informational purposes only.