Individual
DR. LIDA D PRYPCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2521 E 15TH ST, CASPER, WY 82609
(307) 237-7444
(307) 265-5525
Mailing address
2521 E 15TH ST, CASPER, WY 82609-4126
(307) 237-7444
(307) 265-5525
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
7701A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7701A
LICENSE WY
WY
Enumeration date
06/15/2007
Last updated
08/28/2018
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