Individual
MS. MICHELLE BERNADETTE LAURIENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 EDINBURGH STREET, RAWLINS, WY 82301
(307) 324-8820
(307) 333-0261
Mailing address
1800 EDINBURGH STREET, RAWLINS, WY 82301
(307) 324-8820
(307) 333-0261
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629301429
—
WY
Enumeration date
12/15/2014
Last updated
03/08/2018
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