Individual
LAKHMAN L GONDALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6252 YELLOWSTONE RD, CHEYENNE, WY 82009-3432
(307) 778-2015
(307) 778-7060
Mailing address
6252 YELLOWSTONE RD, CHEYENNE, WY 82009-3432
(307) 778-2015
(307) 778-7060
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
19482
NE
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
37760
CO
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
4234A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030005402
MEDICARE RR
—
05
—
10024964200
—
NE
05
—
118095901
—
WY
Enumeration date
11/16/2005
Last updated
02/20/2014
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