Individual
LORI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
632 COFFEEN AVE, SHERIDAN, WY 82801-5314
(307) 655-5510
Mailing address
632 COFFEEN AVE, SHERIDAN, WY 82801-5314
(307) 655-5510
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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