Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

General Surgery PA

Organization Surgery Physician · NPI 1629075049

General Surgery PA is a Surgery Physician in Lawrence, Kansas. Licensed in Kansas. Registered with an NPI since 2005.

Licensed in
KS
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

346 Maine St
Lawrence, KS 66044-1359
Phone: (785) 842-6644
Fax: (785) 842-0348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (KS)

Record details

NPI number1629075049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Rollo — Manager · (785) 842-6644
NPI enumeratedJune 30, 2005
Last updated in NPPESJuly 21, 2022
Mailing address346 Maine St, Lawrence, KS 66044-1359

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