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Contact Information

LANCE A PROCTOR, MD
255 N 30TH ST
LARAMIE, WY82072
 Phone: 307-742-2141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LANCE A PROCTOR · (Male)

NPI Number 1558465898
Status Active
Credentials MD
Entity Individual
Enumeration date 09/08/2006
Last updated 07/19/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 6560A
  • WY Medicaid 116187300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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