ADVANTAGE MEDICAL GROUP LLC NPI 1922060128

NPI Information

ADVANTAGE MEDICAL GROUP LLC is a general practice in Lawrence, KS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ADVANTAGE MEDICAL GROUP LLC NPI is 1922060128. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1104 E 23RD ST
LAWRENCE, KS
ZIP 66046-004
Phone: (785) 749-0130
Fax: (785) 749-0132

The provider's authorized official is Douglas Knox .
The authorized official title is Medical Director and has the following contact phone number (785) 749-0130.

The CLIA number assigned to this NPI record is 17D1076408 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/4/2006 and was last updated on 11/1/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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