Healthcare Provider Details

I. General information

NPI: 1992625412
Provider Name (Legal Business Name): RHEUMATOLOGY & OSTEOPOROSIS CENTER OF WYOMING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W LAKEWAY RD STE 200
GILLETTE WY
82718-6341
US

IV. Provider business mailing address

29 KETTLESON XING
GILLETTE WY
82718-6453
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: HORNG-CHYI RICHARD LAI
Title or Position: PRESIDENT
Credential: MD, MBA
Phone: 410-948-7811