Provider Demographics
NPI:1518379148
Name:LAIDLAW, MOLLY E
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:E
Last Name:LAIDLAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-4851
Mailing Address - Country:US
Mailing Address - Phone:307-259-9860
Mailing Address - Fax:307-266-2032
Practice Address - Street 1:125 E 8TH ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-3127
Practice Address - Country:US
Practice Address - Phone:307-259-9860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator