Individual
VICTOR LANE ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ISC
Contact information
Practice address
1226 E 24TH ST, CASPER, WY 82601-5151
(307) 266-1597
(307) 472-4751
Mailing address
1226 E 24TH ST, CASPER, WY 82601-5151
(307) 266-1597
(307) 472-4751
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
WY
Other
Enumeration date
03/12/2007
Last updated
07/09/2007
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