Healthcare Provider Details

I. General information

NPI: 1124922281
Provider Name (Legal Business Name): LAUNI SUE NEWMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 E 10TH ST
LOVELL WY
82431-1844
US

IV. Provider business mailing address

31 E 10TH ST
LOVELL WY
82431-1844
US

V. Phone/Fax

Practice location:
  • Phone: 307-880-7261
  • Fax:
Mailing address:
  • Phone: 307-880-7261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: