Individual
MRS. DAWN LACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5080 YESNESS LN, CASPER, WY 82604-5204
(307) 259-5134
(307) 237-5222
Mailing address
5080 YESNESS LN, CASPER, WY 82604-5204
(307) 259-5134
(307) 237-5222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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