Individual
L J CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 LIME CREEK RD, KERRVILLE, TX 78028-4310
(830) 928-1738
Mailing address
2021 LIME CREEK RD, KERRVILLE, TX 78028-4310
(830) 928-1738
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220901
TX
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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