Individual
ROBERT LANE VINEYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Mailing address
1430 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
16150
WY
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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