Individual
DR. LAWRENCE G GILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1333 W 5TH ST, STE 210, SHERIDAN, WY 82801-2752
(307) 672-2522
(307) 672-3732
Mailing address
1333 W. 5TH ST, STE 110, SHERIDAN, WY 82801-2752
(307) 672-2522
(307) 672-3732
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3578A
WY
207V00000X
Obstetrics & Gynecology Physician
Primary
3578A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110391100
—
WY
01
—
3578A
STATE LICENSE NUMBER
WY
05
—
97253
—
MT
Enumeration date
11/22/2005
Last updated
03/07/2023
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