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Provider Information for 1467898122


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LAURA A WRONA


Sex: Female

NPI: 1467898122
Last Updated: 2013-05-21
Certification Date:

Details

NameValue
NPI1467898122
Enumeration Date2013-05-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 325 SW FRAZIER AVE
TOPEKA, KS 66606-1963
United States

Phone: 785-232-5005 | Fax:
 
Primary Practice Address 325 SW FRAZIER AVE
TOPEKA, KS 66606-1963
United States

Phone: 785-232-5005 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 172V00000X - Community Health Worker