Individual
JOLEEN E FALKENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
921 S BALLANCEE AVE, LUSK, WY 82225-8222
(307) 334-4000
Mailing address
PO BOX 780, LUSK, WY 82225-0780
(307) 334-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9737A
WY
Other
Enumeration date
08/23/2006
Last updated
04/01/2021
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