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Lydia Mayer

Community Health Worker in Laramie, WY. Individual provider (NPI-1).

NPI number1174106900
StatusActive
Last updated in NPPESApr 29, 2021

Details

NPI
1174106900
Entity type
Individual (NPI-1)
Name
Lydia Mayer
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 29, 2021
Certification date
Apr 29, 2021
Last updated
Apr 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

4989 N 3rd St
Laramie, WY 82072-9548

Phone 307-761-2679

Mailing address

4989 N 3rd St
Laramie, WY 82072-9548

Phone 307-761-2679

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