Lucas De Jong
Lucas De Jong is a General Practice in Wichita, Kansas. Qualified in 2021, 5 years ago. Practices with Spencer Municipal Hospital, a 95-clinician group and accepts Medicare assignment. Licensed in Kansas.
- Years since qualifying
- 5
- Licensed in
- KS
- In the registry since
- 2021
Practice location Address checks out
1010 N Kansas StWichita, KS 67214-3124
Phone: (316) 293-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 94-10748 (KS) |
|---|
Record details
| NPI number | 1164090528 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 14, 2021 |
| Last updated in NPPES | June 14, 2021 |
| Certification date | June 14, 2021 |
Medicare enrollment
| Medicare specialty | GENERAL PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Spencer Municipal Hospital — 95 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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