Individual
LUCAS WILLIAM LAMMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, NREMT
Contact information
Practice address
1300 17TH AVE N, FARGO, ND 58102
(231) 701-6378
Mailing address
1195 35TH ST N APT 108, FARGO, ND 58102-3174
(404) 520-0801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC346945
ND
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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