Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric & Adolescent Medicine PA

Organization Pediatrics Physician · NPI 1790782134

Pediatric & Adolescent Medicine PA provides Pediatrics Physician services in Lawrence, Kansas. Licensed in Kansas. Registered with an NPI since 2005.

Licensed in
KS
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1803 W 6th St
Lawrence, KS 66044-1710
Phone: (785) 842-4477
Fax: (785) 842-7433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (KS)

Record details

NPI number1790782134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucas Houk — Chief Administrative Officer · (785) 842-4477
NPI enumeratedJune 30, 2005
Last updated in NPPESJuly 21, 2022
Certification dateFebruary 2, 2021
Mailing address1803 W 6th St, Lawrence, KS 66044-1710

Other providers in Lawrence