Lance Fairbanks
Lance Fairbanks is an Other Technician in Wichita, Kansas. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
785 N Kessler StWichita, KS 67203-4828
Phone: (316) 559-1940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1619605599 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2022 |
| Last updated in NPPES | August 9, 2022 |
| Certification date | August 9, 2022 |
| Mailing address | 785 N Kessler St, Wichita, KS 67203-4828 |
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