NPI 1205386281

Laramie Pediatrics/Laramie Internal Medicine PC

Organisation Pediatrics Physician Laramie, WY

Practice location

Address: 1252 N. 22nd Street Suite B, Laramie, WY 82072
Phone: (307) 745-3704

Authorised official

Name: Vijaya Madhavi Koduri
Title: Owner
Phone: (307) 365-8789

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Wyoming →

Medical Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM2500X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1205386281
Entity type: Organization
NPI issued: 13 Oct 2016
Record last updated: 5 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.