Family Medicine, Addiction Medicine
CLEAN CLINIC WYOMING
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1548909153 · enumerated 2022-06-01 · record updated 2024-02-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. LORENCE HARMER, CEO · (801) 946-4045
Addresses and phones
- Practice location 1918 THOMES AVE, CHEYENNE, WY, 82001-3527 (928) 242-9929 Google Maps Apple Maps OpenStreetMap
- Mailing address 63 E 11400 S # 275, SANDY, UT, 84070-6705 (801) 946-4045 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Addiction Medicine 207QA0401X · Primary
In this directory
WY Laramie County Cheyenne Family Medicine, Addiction Medicine
Locations and evidence
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Practice location
CHEYENNE, WY, 820013527
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.