Individual
LORRAINE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 632-9362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
44550
WY
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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