Individual
MR. TYLER LEE LEMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2305 JEFFERSON ISLAND RD, NEW IBERIA, LA 70560-9459
(209) 596-1649
Mailing address
2701 MOZART DR, MODESTO, CA 95358-8854
(209) 596-1649
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
320092
LA
Other
Enumeration date
01/14/2019
Last updated
05/28/2020
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