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Individual

EDDIE LAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
801 NW 13TH ST, FRUITLAND, ID 83619-2316
(208) 452-2592
Mailing address
801 NW 13TH ST, FRUITLAND, ID 83619-2316
(208) 452-2592

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
214
WY
237700000X
Hearing Instrument Specialist
Primary
9161671
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
214
WYOMING BOARD OF HEARING INSTRUMENT SPECIALIST
WY
01
9161671
DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES
ID
Enumeration date
02/03/2021
Last updated
08/28/2024
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