Individual
LORI TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-6293
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-6293
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
34344
WY
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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