Individual
RONALD LEBEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 638-0300
(307) 638-0394
Mailing address
PO BOX 2417, CHEYENNE, WY 82003-2417
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4569A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308214
BLUE CROSS BLUE SHIELD
WY
Enumeration date
07/12/2006
Last updated
07/08/2007
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