STACEY R. ANDERSON

LAWRENCE, KS
NPI1427089333
Former NameSTACEY R. BRISCO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: KS  1500562)
Enumeration Date2006-07-06
Last Update Date2007-07-08
Business Address
Ms. STACEY R. ANDERSON P.A.-C
4921 W 18TH ST
LAWRENCE, KS 66047-2090
Phone number: 785-830-0100
Mailing Address
Ms. STACEY R. ANDERSON P.A.-C
PO BOX 3425
LAWRENCE, KS 66046-0425
Phone number: 785-830-0100