Individual
LORI CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
800 E 20TH ST, SUITE 300, CHEYENNE, WY 82001-3885
(307) 633-7444
(307) 634-5627
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 633-7444
(307) 634-5627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15471.1013
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12253614701
—
WY
Enumeration date
09/04/2009
Last updated
08/06/2012
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