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

Pediatric & Adolescent Medicine PA

Organization Pediatrics Physician · NPI 1790782134

Pediatric & Adolescent Medicine PA is a Pediatrics 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

1803 W 6th St
Lawrence, KS 66044-1710
Phone: (785) 842-4477
Fax: (785) 842-7433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (KS)

Record details

NPI number1790782134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucas Houk — Chief Administrative Officer · (785) 842-4477
NPI enumeratedJune 30, 2005
Last updated in NPPESJuly 21, 2022
Certification dateFebruary 2, 2021
Mailing address1803 W 6th St, Lawrence, KS 66044-1710

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