Individual
TERESE J LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
413 S 21ST ST, LARAMIE, WY 82070-4323
(307) 745-5364
Mailing address
413 S 21ST ST, LARAMIE, WY 82070-4323
(307) 745-5364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10010.189
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1130731-00
—
WY
Enumeration date
08/03/2005
Last updated
03/16/2009
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