Individual
LEIF CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 LUMMIS CT, CHEYENNE, WY 82007-2226
(307) 221-1764
Mailing address
109 LUMMIS CT, CHEYENNE, WY 82007-2226
(307) 221-1764
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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