Individual
DR. SARAH LYNN KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
312 E LAKEWAY RD, GILLETTE, WY 82718-6329
(307) 686-8199
(307) 686-1052
Mailing address
505 WILDERNESS DR, GILLETTE, WY 82718-5232
(307) 680-6169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
277T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117742700
—
WY
Enumeration date
08/17/2005
Last updated
07/08/2007
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