Provider Demographics
NPI:1235366758
Name:LAURO, CHRISTINE FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:FRANCES
Last Name:LAURO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7056 S RIDGECREST DR
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-6642
Mailing Address - Country:US
Mailing Address - Phone:201-739-0434
Mailing Address - Fax:
Practice Address - Street 1:6501 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-4293
Practice Address - Country:US
Practice Address - Phone:307-235-5433
Practice Address - Fax:307-233-4700
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY9704A2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYNPI 1235366758Medicaid
WYW26507Medicare PIN