Provider Demographics
NPI:1124067558
Name:ANDOVER FAMILY MEDICINE, LLC
Entity type:Organization
Organization Name:ANDOVER FAMILY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:316-733-5120
Mailing Address - Street 1:2117 KEYSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-8749
Mailing Address - Country:US
Mailing Address - Phone:316-733-5120
Mailing Address - Fax:316-733-1280
Practice Address - Street 1:2117 KEYSTONE CIR
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-8749
Practice Address - Country:US
Practice Address - Phone:316-733-5120
Practice Address - Fax:316-733-1280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1215988282OtherNPI