Individual
DR. TRAVIS JOHN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
106 S.MAIN ST., LYMAN, WY 82937-0429
(307) 787-6123
(307) 787-3351
Mailing address
PO BOX 429, LYMAN, WY 82937-0429
(307) 787-6123
(307) 787-3351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
336T
WY
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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