| Lawrence D. Perea | |
|
502 S 4th St Laramie WY 82070-3704 | |
| (307) 399-7145 | |
| Not Available |
| Full Name | Lawrence D. Perea |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 502 S 4th St, Laramie, Wyoming |
| Authorized Official Name and Position | Lawrence D. Perea (PRESIDENT) |
| Authorized Official Contact | 3073997145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence D. Perea 502 S 4th St Laramie WY 82070-3704 Ph: (307) 399-7145 | Lawrence D. Perea 502 S 4th St Laramie WY 82070-3704 Ph: (307) 399-7145 |
| NPI Number | 1750154639 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750154639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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