Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARAINE JEFFERY
Active Sole ProprietorLARAINE JEFFERY is a 1835C0207X healthcare provider located in CHEYENNE, Wyoming. NPI 1053884114 is currently active in the NPPES registry. Verify at CMS.
1835C0207X · CHEYENNE, WY
Registration Details
- NPI Number
- 1053884114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2019 (7.6168282169124 yrs)
- Last Updated
- Aug 2, 2024
- Licenses
-
4063 (WY)4063 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2360 E PERSHING BLVDCHEYENNE, WY, 820015356Browse WY providers · Browse ZIP 82001
- Phone
- 3077787550
- Primary Specialty
-
1835C0207X
1835C0207X
- Additional Specialty
- 1835C0207X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.