Individual
MYKENZIE CARPENTER-LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 WASHINGTON STREET, 176, LANDER, WY 82520
(307) 851-8247
Mailing address
176 WASHINGTON ST, LANDER, WY 82520-2369
(307) 851-8247
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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