Organization
CROOK COUNTY MEDICAL SERVICES DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKI DAHNE LYONS DNP (CEP)
(307) 283-3501
Entity
Organization
Contact information
Practice address
713 OAK STREET, SUNDANCE, WY 82729
(307) 283-3501
(307) 283-2255
Mailing address
PO BOX 517, 713 OAK STREET, SUNDANCE, WY 82729-0517
(307) 283-3501
(307) 283-2255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106168206
—
WY
Enumeration date
12/11/2006
Last updated
09/24/2020
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