Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 04-29670 | KS |
NPI | 1073584728 |
---|---|
Provider Name | Laura Lynn Tatpati |
First Address | Wichita, KS 67226-3007 |
Second Address | Wichita, KS 67226-3007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 20/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04-29670 | KANSAS STATE LICENSE (01) | KS |