Individual
KRISTA LANE LAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
509 FORT ST STE B, BUFFALO, WY 82834-1867
(307) 684-8623
(307) 684-8623
Mailing address
164 W HART ST, BUFFALO, WY 82834-1738
(307) 684-8623
(307) 684-8623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-0676
WY
Other
Enumeration date
04/29/2010
Last updated
09/27/2017
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