Wichita East Clinic

NPI #1720261340 in Andover, Kansas

Provider Information

NPI Number: 1720261340
Entity Type: Organization
Organization Name: Wichita East Clinic
Primary Specialty: Internal Medicine
Enumeration Date: Dec 6, 2007
Last Updated: Apr 28, 2008

Practice Location

Address: 1145 N ANDOVER RD
City: Andover
State: Kansas
ZIP Code: 67002-8900
Phone: (316) 733-4747

Authorized Official

Name: LISA H LE, M.D.
Title: OWNER
Phone: (316) 733-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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