OrganizationActive
Advantage Medical Group LLC
NPI 1922060128 · General Practice Physician · Lawrence, KS
Provider details
- NPI number
- 1922060128
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Douglas Knox, Medical Director
- License
- 0428304 (KS)
Practice location
1104 E 23rd St
Lawrence, KS 66046-5004
Phone: (785) 749-0130
Fax: (785) 749-0132
Mailing address
1104 E 23rd St
Lawrence, KS 66046-5004
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2013-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.