Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Laramie Pediatrics/Laramie Internal Medicine PC

Organization Pediatrics Physician · NPI 1205386281

Laramie Pediatrics/Laramie Internal Medicine PC provides Pediatrics Physician services in Laramie, Wyoming. Licensed in Wyoming. Registered with an NPI since 2016.

Licensed in
WY
In the registry since
2016
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1252 N 22nd St Ste B
Laramie, WY 82072
Phone: (307) 745-3704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X (WY)

Record details

NPI number1205386281
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLaramie Pediatrics/Laramie Internal Medicine PC
Authorized official Vijaya Koduri — Owner · (307) 365-8789
Other names Dell Range Pediatrics
NPI enumeratedOctober 13, 2016
Last updated in NPPESMarch 5, 2024
Mailing address1252 N. 22nd Street, Suite B, Laramie, WY 82072

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