Individual
JEFFREY THOMAS LYRENMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, PES
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6340
Mailing address
1431 S DEMING AVE, FREEPORT, IL 61032-6219
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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