Individual
JOSH DYRE LAMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
163H E HWY 18, BLYTHEVILLE, AR 72315-8937
(870) 623-2222
Mailing address
163H E HWY 18, BLYTHEVILLE, AR 72315-8937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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