Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laramie Pediatrics/Laramie Internal Medicine PC

Organization Pediatrics Physician · NPI 1205386281

Laramie Pediatrics/Laramie Internal Medicine PC is a Pediatrics Physician 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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