Provider Demographics
NPI:1104059716
Name:KLING, LAURA RACHELLE (RPH)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:RACHELLE
Last Name:KLING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 E LINCOLNWAY
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-5416
Mailing Address - Country:US
Mailing Address - Phone:307-635-0241
Mailing Address - Fax:307-635-1756
Practice Address - Street 1:2304 E LINCOLNWAY
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-5416
Practice Address - Country:US
Practice Address - Phone:307-635-0241
Practice Address - Fax:307-635-1756
Is Sole Proprietor?:No
Enumeration Date:2009-08-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYBW6819695OtherDEA