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Thomas Jacob Lawlis, DDS

Dentist in Wichita, KS. Individual provider (NPI-1).

NPI number1891432001
StatusActive
Last updated in NPPESJun 6, 2022

Details

NPI
1891432001
Entity type
Individual (NPI-1)
Name
Thomas Jacob Lawlis
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
May 18, 2022
Certification date
Jun 6, 2022
Last updated
Jun 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist61889KSYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1431 S Bluffview Dr
Wichita, KS 67218-3010

Phone 316-686-7155

Mailing address

924 E Morrison Dr
Derby, KS 67037-1937

Phone 620-262-6077

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