TERESA M FORTON LPN
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1437770005- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPN
- Status
- Active
Contact & Location
- Address
- 748 MAIN ST, LANDER, WY, 825203036
- Phone
- (307) 332-2231
- Fax
- (307) 332-9338
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: WY #8021