Individual
LEE TODD HAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2710 RIFE MEDICAL LN, ROGERS, AR 72758-1452
(913) 381-5200
(913) 381-0979
Mailing address
PO BOX 507, LOWELL, AR 72745-0507
(913) 381-5200
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R37979
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C02766
AR
Other
Enumeration date
08/12/2009
Last updated
09/14/2010
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