Individual
DR. ANNIE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 632-2434
Mailing address
2714 AMES CT, CHEYENNE, WY 82001-2614
(602) 312-8212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11724A
WY
Other
Enumeration date
08/15/2014
Last updated
09/19/2018
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