Provider Demographics
NPI:1194941468
Name:ZYCH, LAURA (RNFA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ZYCH
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13218 W 77TH PL
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66216-3014
Mailing Address - Country:US
Mailing Address - Phone:913-248-8082
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:13218 W 77TH PL
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66216-3014
Practice Address - Country:US
Practice Address - Phone:913-248-8082
Practice Address - Fax:888-329-6432
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-46067-062163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant