Lais, Randall

Lais, Randall is an individual health care provider with primary practice located at 9828 E Shannon Woods Cir # 100 , Wichita KS 67226-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lais, Randall can be contacted via phone (316) 631-1600.

Contact Information

Primary practice address
9828 E Shannon Woods Cir # 100 Wichita KS 67226-4100
Fax: (316) 631-1639
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 04-27074 Kansas

Profile Details

NPI number 1144258443
LBN Legal business name Lais, Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 18th, 2023 - about 2 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 1144258443 NPPES
Oklahoma MEDICAID 100199000A
Oklahoma Other 110705040
Oklahoma Other 8BR084
Oklahoma Other 1144258443
Oklahoma MEDICAID 041674507
Oklahoma Other 8S4335
Oklahoma MEDICAID 100290930A
Oklahoma MEDICAID 9000171587
Oklahoma MEDICAID 047164506

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