Individual
LYDIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 REYNOLDS ST UNIT B, LARAMIE, WY 82072-5929
(307) 710-6300
Mailing address
707 REYNOLDS ST UNIT B, LARAMIE, WY 82072-5929
(307) 710-6300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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