CENTER FOR CHANGE - LAWRENCE LLC (NPI# 1598041048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598041048 |
| Entity Type | Organization |
| Organization Name | CENTER FOR CHANGE - LAWRENCE LLC |
| Practice Address |
1910 Haskell Ave A-9 Lawrence KS 66046-3246 |
| Mailing Address |
933 N Topeka St Witchita KS 67214-3620 |
| Practice Telephone | 3162011234 |
| Practice Fax Number | 3162011673 |
| Mailing Telephone | 3162011234 |
| Mailing Fax Number | 3162011673 |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | DR. GREGORY F. LAKIN (MEDICAL DIRECTOR/AUTHORIZED OFFCIAL) |
| Authorized Official Telephone | 3166400601 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1910 HASKELL AVE A-9 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66046-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770913659 | Jennifer Lea Reed | Counselor | 2107 Maple Ln., Lawrence, KS 66046 | 2013-11-14 |
| 1578995668 | Erin Lyn Ward | Social Worker | 2141 Maple Ln, Lawrence, KS 66046 | 2013-07-31 |
| 1043588197 | Bridget Ellen Gillespie | Pharmacist | 400 W 23rd Street, Lawrence, KS 66046 | 2011-12-05 |
| 1992018600 | Michael John Atteberry | Optometrist | 3201 S Iowa, Lawrence, KS 66046 | 2010-07-22 |
| 1275749491 | Independence Inc | Voluntary or Charitable | 2001 Haskell Avenue, Lawrence, KS 66046 | 2007-05-15 |
| 1679787352 | Independence Inc. Pass Program | Home Health | 2001 Haskell Ave, Lawrence, KS 66046 | 2007-05-10 |
| 1972724532 | Dana L White | Occupational Therapist | 325 Maine, Lawrence, KS 66046 | 2007-05-01 |
| 1265575203 | David Emroy Cornelius | Registered Nurse | 2415 Massachesetts, Lawrence, KS 66046 | 2007-02-15 |
| 1750489753 | Monte J Clumsky | Dentist | 2706 Iowa, Suite A, Lawrence, KS 66046 | 2006-09-21 |
| 1508971052 | Brent Robert Jones | Dentist | 2348 Iowa Street, Lawrence, KS 66046 | 2006-08-21 |
| Find all providers in zip 66046 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225332885 | Maestro Outreach Medical Services, LLC | Family Medicine | 439 S Union St, Building 2, Suite # 107, Lawrence, MA 01843-2837 | 2010-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043466055 | Patrick Gerard Mcalinney | Family Medicine | 6355 W 110th St, Overland Park, KS 66211-1509 | 2008-08-10 |
| 1700920832 | Romeo Miraflor Pineda Jr. | Family Medicine | 407 S Clairborne Rd Ste 200, Olathe, KS 66062-1744 | 2007-02-20 |
| 1881730760 | Wichita Treatment Center, Inc | Family Medicine | 939 N Main Street, Wichita, KS 67203-3608 | 2007-01-29 |
| 1093349813 | Center for Change LLC | Family Medicine | 933 N Topeka St, Wichita, KS 67214-3620 | 2020-03-02 |
| 1932432754 | William J Braun | Family Medicine | 3707 Sw 6th Ave, Topeka, KS 66606-2084 | 2009-09-11 |
Please comment or provide details below to improve the information on CENTER FOR CHANGE - LAWRENCE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.