CLEAN CLINIC WYOMING is an addiction medicine family medicine in Cheyenne, WY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CLEAN CLINIC WYOMING NPI is 1548909153. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1918 THOMES AVE CHEYENNE, WY ZIP 82001-527 Phone: (928) 242-9929
The provider's authorized official is Lorence A Harmer . The authorized official title is Ceo and has the following contact phone number (801) 946-4045.
The enumeration date for this NPI number is 6/1/2022 and was last updated on 2/17/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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