Individual
LANAE DEANN PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,CHT
Contact information
Practice address
428 S DURBIN ST, STE 104, CASPER, WY 82601-2829
(307) 472-5622
(307) 472-5626
Mailing address
428 S DURBIN ST, STE 104, CASPER, WY 82601-2829
(307) 472-5622
(307) 472-5626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
031
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312180
BLUE CROSS BLUE SHIELD WY
WY
Enumeration date
06/23/2006
Last updated
11/02/2018
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