Egidy, Mary Lu

Egidy, Mary Lu is an individual health care provider with primary practice located at 2619 W. 6Th St. Suite C , Lawrence KS 66049. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Egidy, Mary Lu can be contacted via phone (785) 830-8299.

Contact Information

Primary practice address
2619 W. 6Th St. Suite C Lawrence KS 66049
Phone: (785) 830-8299
Fax: (785) 749-2581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 14-57857-101 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 74564 Kansas

Profile Details

NPI number 1841392206
LBN Legal business name Egidy, Mary Lu
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jan 23rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841392206 NPPES
Kansas MEDICAID 100297790 C
Kansas Other 29894028
Kansas Other 160356

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