Individual
LONNIE M HAMMONDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2062 HIGHWAY 62 W, MOUNTAIN HOME, AR 72653-7656
(870) 425-5464
(870) 425-5465
Mailing address
PO BOX 763, MOUNTAIN HOME, AR 72654-0763
(870) 425-5464
(870) 425-5465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E-9180
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356464838
NPI
AR
Enumeration date
04/09/2007
Last updated
08/24/2022
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