Individual
MR. LONNIE LEE JAUKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,PTA
Contact information
Practice address
1215 TIBBALS ST, HOLDREGE, NE 68949-1255
(308) 995-6134
(308) 995-4127
Mailing address
429 MCMILLAN ST, HOLDREGE, NE 68949-2050
(308) 995-5447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
170
NE
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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