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Organization
PROFESSIONAL PATHOLOGY OF WYOMING
Active
Organization
PROFESSIONAL PATHOLOGY OF WYOMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA R CHRISTIANSEN (PRESIDENT)
(307) 337-1670
Entity
Organization
Contact information
Practice address
5400 SUTLIVE ST STE 3, SAVANNAH, GA 31405-4721
(770) 972-4845
Mailing address
111 S JEFFERSON ST STE 150, CASPER, WY 82601-2654
(307) 277-2041
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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