Individual
PHILIP LERORY SANDERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3236 E GRAND AVE STE D, LARAMIE, WY 82070-5100
(307) 760-8602
Mailing address
404 ELM ST, LAFAYETTE, CO 80026-2571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44414
WY
Other
Enumeration date
08/14/2019
Last updated
04/06/2026
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