Lorraine C Gallagher, D.M.D.

Individual provider Active NPI General Practice Dentistry · Cheyenne, WY

NPI 1144499765 · NPPES record last updated Feb 28, 2008

Key facts

NPI
1144499765
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1086 (WY)
Practice address
4000 Laramie St
Cheyenne, WY 82001-2064
Phone
(307) 426-4014
Fax
(307) 426-4016
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1086WYMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1086 WY Yes

Addresses

Primary practice location

4000 Laramie St
Cheyenne, WY 82001-2064

Mailing address

4000 Laramie St
Cheyenne, WY 82001-2064
Phone (307) 426-4014

Other providers in Cheyenne, WY

All providers in Cheyenne, WY · General Practice Dentistry in Wyoming

Sources for this page

Verify at the official NPI Registry.