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Contact Information

LANDER VALLEY PHYSICIAN PRACTICES, LLC
830 LINCOLN ST
LANDER, WY82520-2736
 Phone: 307-332-9577
 Fax: 307-332-3106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Neurology

2084N0400X 13 Physician/Neurology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LANDER VALLEY PHYSICIAN PRACTICES LLC · (Female)

NPI Number 1215971510
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2006
Last updated 01/02/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • WY License # 6909A
  • WY Medicaid 119703700
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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