Dr Lance A Proctor, MD | |
255 N 30th St, Laramie, WY 82072 | |
(307) 742-2141 | |
Not Available |
Full Name | Dr Lance A Proctor |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 255 N 30th St, Laramie, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558465898 | NPI | - | NPPES |
116187300 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 6560A (Wyoming) | Primary |
Entity Name | Anesthesia Associates Of Laramie Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548364888 PECOS PAC ID: 8123001500 Enrollment ID: O20040608000531 |
Mailing Address | Practice Location Address |
---|---|
Dr Lance A Proctor, MD 204 Mccollum Dr, Suite 101, Laramie, WY 82070-5151 Ph: (307) 745-6065 | Dr Lance A Proctor, MD 255 N 30th St, Laramie, WY 82072 Ph: (307) 742-2141 |
Dr. Calvin Alpha Bell, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-253-0213 | |
Dr. Randall Lee Martin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 204 Mccollum Drive, Suite 101, Laramie, WY 82070 Phone: 307-745-6065 Fax: 307-745-4936 | |
Dr. Charles R Coffey, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-742-2141 | |
Dr. John David Crecca, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 307-742-2141 | |
Dr. Andrew Taylor Georgi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 255 N 30th St, Laramie, WY 82072 Phone: 801-648-9866 |