Larry Vengenderen
Sports Medicine Orthopaedic Surgeon
1909 Vista Dr
Laramie
, Wyoming 82070
Larry Vengenderen
Sports Medicine Orthopaedic Surgeon
1909 Vista Dr
Laramie
, Wyoming 82070
(307) 742-0961
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Larry Vengenderen
- 1909 Vista Dr
- Laramie, WY
- Zip : 82070
- Fax : (307) 742-0961
- Phone : (307) 745-8851
Second Address
- Larry Vengenderen
- 1909 Vista Dr
- Laramie, WY
- Zip : 82070
- Fax : (307) 742-0961
- Phone : (307) 745-8851
Reviews
FAQs
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What type of doctor is Larry Vengenderen
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Where is Larry Vengenderen ’s practice located?
What is Larry Vengenderen ’s gender?
Is Larry Vengenderen a sole practitioner?
Is Larry Vengenderen accepting new patients?
What languages does Larry Vengenderen speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 2300A | WY |
National Provider Identifier
| NPI | 1184638165 |
|---|---|
| Provider Name | Larry Vengenderen |
| First Address | Laramie, WY 82070 |
| Second Address | Laramie, WY 82070 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B63254 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.