Individual
LAMONT ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
125 N. 2ND AVE, EVANSTON, WY 82930
(307) 789-9573
Mailing address
PO BOX 1583, THAYNE, WY 83127-1583
(307) 883-8583
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
302T
WY
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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