Unknown Individual – Dermatology Physician, NPI 1659394740
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1301, West 24th Street, Lawrence, Douglas County, Kansas, 66046, United States
APT 2N
LAWRENCE, KS 660464002
Phone: (785) 764-2717
Type: Mailing
Dwight D. Eisenhower VA Medical Center, 4101, South 4th Street, Wadsworth, Leavenworth, Leavenworth County, Kansas, 66048, United States
LEAVENWORTH, KS 660485014
Phone: (913) 682-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66046)
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