| Lapis Luna Mind And Body Center Llc | |
|
108 N 8th St Sundance WY 82729 | |
| (843) 287-1234 | |
| Not Available |
| Full Name | Lapis Luna Mind And Body Center Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 108 N 8th St, Sundance, Wyoming |
| Authorized Official Name and Position | Kristina Anne Davis (OWNER) |
| Authorized Official Contact | 8432871234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lapis Luna Mind And Body Center Llc Po Box 1173 Sundance WY 82729-1173 Ph: (843) 287-1234 | Lapis Luna Mind And Body Center Llc 108 N 8th St Sundance WY 82729 Ph: (843) 287-1234 |
| NPI Number | 1801736442 |
|---|---|
| Provider Enumeration Date | 04/01/2026 |
| Last Update Date | 04/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801736442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Crook County Medical Services District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 Oak Street, Sundance, WY 82729 Phone: 307-283-3501 Fax: 307-283-2255 | |
Crook County Medical Services District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 Oak Street, Sundance, WY 82729 Phone: 307-283-3501 Fax: 307-283-2255 |