Organization
NORTH PLATTE PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA CHRISTIANSEN M.D. (PRESIDENT)
(307) 337-1670
Entity
Organization
Contact information
Practice address
111 S JEFFERSON ST, STE 150B, CASPER, WY 82601-2654
(307) 337-1670
Mailing address
PO BOX 2090, CASPER, WY 82602-2090
(307) 337-1670
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
03/28/2012
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