Individual
ROYCIA DELINDA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2221
(307) 234-6161
Mailing address
1522 E A ST, CASPER, WY 82601-2221
(307) 234-6161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213-T1
WY
208D00000X
General Practice Physician
OS021680
PA
390200000X
Student in an Organized Health Care Education/Training Program
213-T1
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213-T1
MEDICAL LICENSE NUMBER
WY
Enumeration date
04/15/2020
Last updated
05/27/2022
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