# MEADOWLARK PEDIATRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194397851
- **Authorized official:** MS. ELIZABETH DEPRINCE SMITH CPNP (CPNP, CO-OWNER)
- **Authorized official phone:** (307) 314-4242

## Contact information

- **Practice address:** 1208 S RIVER ST, SARATOGA, WY 82331-5204
- **Practice address phone:** (307) 314-4242
- **Mailing address:** 204 MCCOLLUM ST STE 203, LARAMIE, WY 82070-5127
- **Mailing address phone:** (307) 314-4242
- **Mailing address fax:** (307) 460-3331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2021
- **Last updated:** 09/15/2021