Individual
MELANIE LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM, ASM, CD
Contact information
Practice address
751 ROAD 11, POWELL, WY 82435-9131
(307) 202-2386
Mailing address
751 ROAD 11, POWELL, WY 82435-9131
(307) 202-2386
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10
WY
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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