Individual
LANCE DONAVAN OLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
#24 GREAT PLAINS ROAD, ARAPAHOE, WY 82510
(307) 856-0470
(307) 857-4383
Mailing address
POST OFFICE BOX 190, ST. STEPHENS, WY 82501
(307) 856-0470
(307) 857-4383
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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