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Individual
LANCE A HAMMONS
Active
Individual
LANCE A HAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-013772
IL
2255A2300X
Athletic Trainer
096-001848
IL
Other
Enumeration date
04/10/2006
Last updated
07/21/2022
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