Individual
TYLER R LAMOUREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3366 ROUTE 5A, WEST CHARLESTON, VT 05872-9631
(802) 323-4480
Mailing address
3366 ROUTE 5A, WEST CHARLESTON, VT 05872-9631
(802) 323-4480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
VT
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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