Individual
ALEXANDRA VAN LANCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 637-3953
Mailing address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 637-3953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
06/28/2017
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