# CHEYENNE UROLOGICAL PC

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

## Provider details

- **NPI number:** 1942388178
- **Authorized official:** DR. JAMES A LUGG M.D. (PRESIDENT)
- **Authorized official phone:** (307) 635-4131

## Contact information

- **Practice address:** 2301 HOUSE AVE STE 502, CHEYENNE, WY 82001-3179
- **Practice address phone:** (307) 635-4131
- **Practice address fax:** (307) 635-4134
- **Mailing address:** 2301 HOUSE AVE STE 502, CHEYENNE, WY 82001-3179
- **Mailing address phone:** (307) 635-4131
- **Mailing address fax:** (307) 635-4134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 06/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01045001 | BCBS OF WYOMING | WY |
| 05 | — | 110722400 | — | WY |
| 01 | — | CT1864 | RAILROAD MEDICARE | WY |