Washburn, Laurisa L

Washburn, Laurisa L is an individual health care provider with primary practice located at 1100 N Saint Francis St Ste 130, Wichita KS 67214-2865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Washburn, Laurisa L can be contacted via phone (316) 264-3505.

Contact Information

Primary practice address
1100 N Saint Francis St Ste 130 Wichita KS 67214-2865
Phone: (316) 264-3505
Fax: (316) 264-0908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1500743 Kansas

Profile Details

NPI number 1750386447
LBN Legal business name Washburn, Laurisa L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 10th, 2014 - about 10 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 1750386447 NPPES
Kansas MEDICAID 100408970B

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