Individual
DR. LAWRENCE WILLIAM O HOLLERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4003 RAWLINS ST STE B, CHEYENNE, WY 82001-1800
(307) 637-5600
(307) 637-0249
Mailing address
PO BOX 2476, CHEYENNE, WY 82003-2476
(307) 637-5600
(307) 637-0249
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
16963
NE
208600000X
Surgery Physician
26688
CO
208600000X
Surgery Physician
Primary
6423A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115489300
—
WY
Enumeration date
02/28/2006
Last updated
02/09/2023
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