Provider First Line Business Practice Location Address:
1311 WAKARUSA DRIVE, LAWRENCE KS SUITE 1000
Provider Second Line Business Practice Location Address:
SUITE 1000
Provider Business Practice Location Address City Name:
LAWRENCE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66049-6604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-749-1300
Provider Business Practice Location Address Fax Number:
785-749-4746
Provider Enumeration Date:
04/27/2023