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CENTER FOR CHANGE - LAWRENCE LLC NPI 1598041048


NPI Information

NPI: 1598041048
Provider Name: CENTER FOR CHANGE - LAWRENCE LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1910 HASKELL AVE A-9
LAWRENCE, KS
ZIP 66046
Phone: (316) 201-1234
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CENTER FOR CHANGE - LAWRENCE LLC is an addiction medicine family medicine in Lawrence, KS. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CENTER FOR CHANGE - LAWRENCE LLC NPI is 1598041048. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1910 HASKELL AVE A-9
LAWRENCE, KS
ZIP 66046-246
Phone: (316) 201-1234
Fax: (316) 201-1673

The provider's authorized official is Gregory F. Lakin .
The authorized official title is Medical Director/authorized Offcial and has the following contact phone number (316) 640-0601.

The enumeration date for this NPI number is 10/28/2011 and was last updated on 10/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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