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Organization

FRONTIER NEUROSCIENCES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE R LEMMON (OFFICE MANAGER)
(307) 578-1985
Entity
Organization

Contact information

Practice address
702 PLATINUM DR, CODY, WY 82414-3420
(307) 578-1985
(307) 578-1938
Mailing address
702 PLATINUM DR, CODY, WY 82414-3420
(307) 578-1985
(307) 578-1938

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2084N0400X
Neurology Physician
Primary
363LP2300X
Primary Care Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116581000
WY
Enumeration date
05/16/2007
Last updated
08/07/2025
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