Mrs. LORA LEA KOENIG
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1912419623- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1035 ROSE LN, RIVERTON, WY, 825012291
- Phone
- (307) 233-6000
- Fax
- (307) 233-6089
Specialties & Taxonomies
Registered Nurse
License: WY #20484
Nurse Practitioner, Family
License: WY #1792
Nurse Practitioner, Family
Primary License: WY #20484.1792