Koenig, Lora Lea

Koenig, Lora Lea is an sole proprietor health care provider with primary practice located at 1035 Rose Ln , Riverton WY 82501-2291. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Koenig, Lora Lea can be contacted via phone (307) 233-6000.

Contact Information

Primary practice address
1035 Rose Ln Riverton WY 82501-2291
Phone: (307) 233-6000
Fax: (307) 233-6089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 20484 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1792 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20484.1792 Wyoming

Profile Details

NPI number 1912419623
LBN Legal business name Koenig, Lora Lea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2017
Last updated Jan 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912419623 NPPES
Wyoming MEDICAID 1912419623

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